Provider Demographics
NPI:1417169509
Name:ACTION CHIROPRACTIC, PHYSICAL MEDICINE AND REHABILITATION, PA
Entity Type:Organization
Organization Name:ACTION CHIROPRACTIC, PHYSICAL MEDICINE AND REHABILITATION, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:M
Authorized Official - Last Name:DOSS
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:281-446-2225
Mailing Address - Street 1:4003 RUSTIC WOODS DR
Mailing Address - Street 2:SUITE - D
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-2612
Mailing Address - Country:US
Mailing Address - Phone:281-446-2225
Mailing Address - Fax:281-361-3880
Practice Address - Street 1:4003 RUSTIC WOODS DR
Practice Address - Street 2:SUITE - D
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-2612
Practice Address - Country:US
Practice Address - Phone:281-446-2225
Practice Address - Fax:281-361-3880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8805111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty