Provider Demographics
NPI:1689879702
Name:CHIRO DC
Entity Type:Organization
Organization Name:CHIRO DC
Other - Org Name:VETERANS MEMORIAL CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HAN
Authorized Official - Middle Name:
Authorized Official - Last Name:VU
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-820-0400
Mailing Address - Street 1:11210 VETERANS MEMORIAL
Mailing Address - Street 2:SUITE C
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77067
Mailing Address - Country:US
Mailing Address - Phone:281-820-0400
Mailing Address - Fax:281-820-3031
Practice Address - Street 1:11210 VETERANS MEMORIAL
Practice Address - Street 2:SUITE C
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77067
Practice Address - Country:US
Practice Address - Phone:281-820-0400
Practice Address - Fax:281-820-3031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC7352111N00000X
TXDC7082111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty