Provider Demographics
NPI:1669640462
Name:PRICE CHIROPRACTIC
Entity Type:Organization
Organization Name:PRICE CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:G
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-877-8600
Mailing Address - Street 1:1900 SAINT JAMES PL STE 800A
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-4147
Mailing Address - Country:US
Mailing Address - Phone:713-877-8600
Mailing Address - Fax:713-599-1773
Practice Address - Street 1:1900 SAINT JAMES PL STE 800A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-4147
Practice Address - Country:US
Practice Address - Phone:713-877-8600
Practice Address - Fax:713-599-1773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-14
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
71446Medicare UPIN