Provider Demographics
NPI:1477926855
Name:CORRECTIVE HEALTH CENTER, PLLC
Entity Type:Organization
Organization Name:CORRECTIVE HEALTH CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:K
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-261-7220
Mailing Address - Street 1:5201 HIGHWAY 6
Mailing Address - Street 2:SUITE 800
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-4379
Mailing Address - Country:US
Mailing Address - Phone:281-261-7202
Mailing Address - Fax:281-261-7220
Practice Address - Street 1:5201 HIGHWAY 6
Practice Address - Street 2:SUITE 800
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-4379
Practice Address - Country:US
Practice Address - Phone:281-261-7202
Practice Address - Fax:281-261-7220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-05
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty