Provider Demographics
NPI:1407835093
Name:JUERGENS, KURT ANTHONY (DC)
Entity Type:Individual
Prefix:DR
First Name:KURT
Middle Name:ANTHONY
Last Name:JUERGENS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 GESSNER DR
Mailing Address - Street 2:SUITE 140
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77080-3839
Mailing Address - Country:US
Mailing Address - Phone:713-690-0233
Mailing Address - Fax:713-690-4290
Practice Address - Street 1:2600 GESSNER DR
Practice Address - Street 2:SUITE 140
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77080-3839
Practice Address - Country:US
Practice Address - Phone:713-690-0233
Practice Address - Fax:713-690-4290
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4974111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT-83308Medicare UPIN
TX603012Medicare ID - Type Unspecified