Provider Demographics
NPI:1679743421
Name:CHIROPRACTIC CENTER OF HOUSTON, P.C.
Entity Type:Organization
Organization Name:CHIROPRACTIC CENTER OF HOUSTON, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:CLEMONS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-739-1136
Mailing Address - Street 1:930 MAIN ST
Mailing Address - Street 2:SUITE T275
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-6232
Mailing Address - Country:US
Mailing Address - Phone:713-739-1136
Mailing Address - Fax:713-739-1137
Practice Address - Street 1:930 MAIN ST
Practice Address - Street 2:SUITE T275
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-6232
Practice Address - Country:US
Practice Address - Phone:713-739-1136
Practice Address - Fax:713-739-1137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-07
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6204111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty