Provider Demographics
NPI:1619159027
Name:NORTH LAKE HOUSTON CHIROPRACTIC CENTER, INC.
Entity Type:Organization
Organization Name:NORTH LAKE HOUSTON CHIROPRACTIC CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LLOYD
Authorized Official - Middle Name:L
Authorized Official - Last Name:RAMBY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-446-1242
Mailing Address - Street 1:PO BOX 695
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77347-0695
Mailing Address - Country:US
Mailing Address - Phone:281-446-1242
Mailing Address - Fax:281-446-5032
Practice Address - Street 1:319 1ST ST E
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-3856
Practice Address - Country:US
Practice Address - Phone:281-446-1242
Practice Address - Fax:281-446-5032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-28
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0042BDMedicare PIN