Provider Demographics
NPI:1407609084
Name:BROADBENT, NATALIE SUAREZ (DC)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:SUAREZ
Last Name:BROADBENT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:K
Other - Last Name:SUAREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:7901 RESEARCH FOREST DR
Mailing Address - Street 2:SUITE #900
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77382
Mailing Address - Country:US
Mailing Address - Phone:281-292-4777
Mailing Address - Fax:281-292-4828
Practice Address - Street 1:7901 RESEARCH FOREST DR
Practice Address - Street 2:SUITE #900
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77382
Practice Address - Country:US
Practice Address - Phone:281-292-4777
Practice Address - Fax:281-292-4828
Is Sole Proprietor?:No
Enumeration Date:2024-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX171014111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor