Provider Demographics
NPI:1609564053
Name:BINGLE CHIROPRACTIC CLINIC LLC
Entity Type:Organization
Organization Name:BINGLE CHIROPRACTIC CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:REZA
Authorized Official - Middle Name:
Authorized Official - Last Name:DONESH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-397-2491
Mailing Address - Street 1:8561 LONG POINT RD STE 103
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-2397
Mailing Address - Country:US
Mailing Address - Phone:713-465-2422
Mailing Address - Fax:713-465-5018
Practice Address - Street 1:8561 LONG POINT RD STE 103
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-2397
Practice Address - Country:US
Practice Address - Phone:713-465-2422
Practice Address - Fax:713-465-5018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-25
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty