Provider Demographics
NPI:1568649747
Name:ADOLF CONTRERAS ENTERPRISES
Entity Type:Organization
Organization Name:ADOLF CONTRERAS ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ADOLF
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-524-5544
Mailing Address - Street 1:4019 RICHMOND AVE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-6817
Mailing Address - Country:US
Mailing Address - Phone:713-524-5544
Mailing Address - Fax:713-524-5547
Practice Address - Street 1:4019 RICHMOND AVE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-6817
Practice Address - Country:US
Practice Address - Phone:713-524-5544
Practice Address - Fax:713-524-5547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-30
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10210111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty