Provider Demographics
NPI:1508178674
Name:MCPEARSON CHIROPRACTIC CLINIC
Entity Type:Organization
Organization Name:MCPEARSON CHIROPRACTIC CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:D.C.
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:ANGUS
Authorized Official - Last Name:MCPEARSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-479-9757
Mailing Address - Street 1:205 E 8TH ST
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:TX
Mailing Address - Zip Code:77536-2755
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:205 E 8TH ST
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:TX
Practice Address - Zip Code:77536-2755
Practice Address - Country:US
Practice Address - Phone:281-479-9757
Practice Address - Fax:281-479-6643
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-06
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2237111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty