Provider Demographics
NPI:1417273657
Name:NONG, AMY (DC)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:NONG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12288 WESTHEIMER RD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-6054
Mailing Address - Country:US
Mailing Address - Phone:281-556-9355
Mailing Address - Fax:
Practice Address - Street 1:12288 WESTHEIMER RD
Practice Address - Street 2:SUITE 310
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-6054
Practice Address - Country:US
Practice Address - Phone:281-556-9355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-13
Last Update Date:2010-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11311111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor