Provider Demographics
NPI:1538352638
Name:DR.DALE GIROD
Entity type:Organization
Organization Name:DR.DALE GIROD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DALE
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:GIROD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-479-3553
Mailing Address - Street 1:208 W SAN AUGUSTINE ST
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:TX
Mailing Address - Zip Code:77536-4026
Mailing Address - Country:US
Mailing Address - Phone:281-479-3553
Mailing Address - Fax:281-479-6685
Practice Address - Street 1:208 W SAN AUGUSTINE ST
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:TX
Practice Address - Zip Code:77536-4026
Practice Address - Country:US
Practice Address - Phone:281-479-3553
Practice Address - Fax:281-479-6685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-22
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty