Provider Demographics
NPI:1598954620
Name:KEY WELLNESS CENTER
Entity Type:Organization
Organization Name:KEY WELLNESS CENTER
Other - Org Name:KEY CHIROPRACTIC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BART
Authorized Official - Middle Name:BUTLER
Authorized Official - Last Name:KEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:832-448-7800
Mailing Address - Street 1:440 BENMAR DR
Mailing Address - Street 2:#3400
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77060
Mailing Address - Country:US
Mailing Address - Phone:832-448-7800
Mailing Address - Fax:832-448-7801
Practice Address - Street 1:1200 MCKINNEY ST
Practice Address - Street 2:#447
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77010
Practice Address - Country:US
Practice Address - Phone:713-650-9355
Practice Address - Fax:713-650-9356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-15
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC6224111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty