Provider Demographics
NPI:1639395882
Name:INFINITE WELLNESS CHIROPRACTIC CENTER, LLC
Entity Type:Organization
Organization Name:INFINITE WELLNESS CHIROPRACTIC CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED AGENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALIREZA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMEOSSANAIE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-467-6999
Mailing Address - Street 1:9111 KATY FWY
Mailing Address - Street 2:STE. 226
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1648
Mailing Address - Country:US
Mailing Address - Phone:713-467-6999
Mailing Address - Fax:270-568-6757
Practice Address - Street 1:9111 KATY FWY
Practice Address - Street 2:STE. 226
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1648
Practice Address - Country:US
Practice Address - Phone:713-467-6999
Practice Address - Fax:270-568-6757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10111111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty