Provider Demographics
NPI:1598286031
Name:AMMON ZUKERAN DC INC
Entity Type:Organization
Organization Name:AMMON ZUKERAN DC INC
Other - Org Name:KATY ELITE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:AMMON
Authorized Official - Middle Name:
Authorized Official - Last Name:ZUKERAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-994-9020
Mailing Address - Street 1:416 PARK GROVE LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450
Mailing Address - Country:US
Mailing Address - Phone:281-994-9020
Mailing Address - Fax:281-994-9022
Practice Address - Street 1:416 PARK GROVE LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450
Practice Address - Country:US
Practice Address - Phone:281-994-9020
Practice Address - Fax:281-994-9022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-06
Last Update Date:2017-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13067111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty