Provider Demographics
NPI:1689841116
Name:GORZELNIK, MARY ELIZABETH (DC)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:ELIZABETH
Last Name:GORZELNIK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9801 WESTHEIMER RD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-3955
Mailing Address - Country:US
Mailing Address - Phone:713-917-6869
Mailing Address - Fax:
Practice Address - Street 1:9801 WESTHEIMER RD
Practice Address - Street 2:SUITE 302
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-3955
Practice Address - Country:US
Practice Address - Phone:713-917-6869
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-14
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2805111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor