Provider Demographics
NPI:1740219492
Name:YOUR FAMILY CHIROPRACTIC CARE P.A.
Entity Type:Organization
Organization Name:YOUR FAMILY CHIROPRACTIC CARE P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:
Authorized Official - Last Name:HICKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-256-0606
Mailing Address - Street 1:17920 HUFFMEISTER RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-3793
Mailing Address - Country:US
Mailing Address - Phone:281-256-0606
Mailing Address - Fax:281-256-0659
Practice Address - Street 1:17920 HUFFMEISTER RD
Practice Address - Street 2:SUITE 210
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429
Practice Address - Country:US
Practice Address - Phone:281-256-0606
Practice Address - Fax:281-256-0659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10255111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty