Provider Demographics
NPI:1568843472
Name:FRONTLINE RECOVERY AND CONSULTING NORTH, INC
Entity Type:Organization
Organization Name:FRONTLINE RECOVERY AND CONSULTING NORTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:SUEING
Authorized Official - Suffix:SR
Authorized Official - Credentials:N/A
Authorized Official - Phone:281-989-9419
Mailing Address - Street 1:505 N SAM HOUSTON PKWY E
Mailing Address - Street 2:STE 140
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77060-4018
Mailing Address - Country:US
Mailing Address - Phone:281-741-0350
Mailing Address - Fax:832-598-2980
Practice Address - Street 1:505 N SAM HOUSTON PKWY E
Practice Address - Street 2:STE 140
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-4018
Practice Address - Country:US
Practice Address - Phone:281-741-0350
Practice Address - Fax:832-598-2980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-16
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF0011543111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty