Provider Demographics
NPI:1467637975
Name:CRAWFORD WELLNESS CENTER, INC
Entity Type:Organization
Organization Name:CRAWFORD WELLNESS CENTER, INC
Other - Org Name:CRAWFORD WELLNESS CENTER
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAWFORD-FIALLOS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-503-9687
Mailing Address - Street 1:6550 MAPLERIDGE
Mailing Address - Street 2:STE. 115
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081
Mailing Address - Country:US
Mailing Address - Phone:713-503-9687
Mailing Address - Fax:713-668-8039
Practice Address - Street 1:2414 TANGLEY ST BLDG B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-2514
Practice Address - Country:US
Practice Address - Phone:713-503-9687
Practice Address - Fax:713-668-8039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-02
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8801111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1558369801OtherNPI - TYPE1