Provider Demographics
NPI:1437334901
Name:PREMIER CHIROPRACTIC NETWORK
Entity Type:Organization
Organization Name:PREMIER CHIROPRACTIC NETWORK
Other - Org Name:WEST HOUSTON CHIROPRACTIC & ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:HUY
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-468-8085
Mailing Address - Street 1:9656 KATY FWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-6322
Mailing Address - Country:US
Mailing Address - Phone:713-468-8085
Mailing Address - Fax:713-468-0680
Practice Address - Street 1:9656 KATY FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-6322
Practice Address - Country:US
Practice Address - Phone:713-468-8085
Practice Address - Fax:713-468-0680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-03
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8964111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty