Provider Demographics
NPI:1467530444
Name:ALTMAN, JODI MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:JODI
Middle Name:MARIE
Last Name:ALTMAN
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 1:10901 KATY FWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-2203
Mailing Address - Country:US
Mailing Address - Phone:713-461-9355
Mailing Address - Fax:713-467-9499
Practice Address - Street 1:10901 KATY FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-2203
Practice Address - Country:US
Practice Address - Phone:713-467-9355
Practice Address - Fax:281-550-1587
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9438111NN1001X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NN1001XChiropractic ProvidersChiropractorNutrition