Provider Demographics
NPI:1467673830
Name:M & B CHIROPRACTIC, P.A.
Entity Type:Organization
Organization Name:M & B CHIROPRACTIC, P.A.
Other - Org Name:KINGWOOD CHIROPRACTIC ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:WILKEN
Authorized Official - Last Name:BUCHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-359-6932
Mailing Address - Street 1:1110 KINGWOOD DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-3001
Mailing Address - Country:US
Mailing Address - Phone:281-359-6932
Mailing Address - Fax:281-359-2647
Practice Address - Street 1:1110 KINGWOOD DR
Practice Address - Street 2:SUITE 201
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-3001
Practice Address - Country:US
Practice Address - Phone:281-359-6932
Practice Address - Fax:281-359-2647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00000095LMOtherBLUE CROSS BLUE SHIELD
TX00000095LMOtherBLUE CROSS BLUE SHIELD