Provider Demographics
NPI:1780854414
Name:SCHULZ HOLISTIC WELLNESS CENTER
Entity Type:Organization
Organization Name:SCHULZ HOLISTIC WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHULZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-355-6466
Mailing Address - Street 1:5555 WEST LOOP S
Mailing Address - Street 2:STE. 200
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-2100
Mailing Address - Country:US
Mailing Address - Phone:713-355-6466
Mailing Address - Fax:713-355-6602
Practice Address - Street 1:5555 WEST LOOP S
Practice Address - Street 2:STE. 200
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-2100
Practice Address - Country:US
Practice Address - Phone:713-355-6466
Practice Address - Fax:713-355-6602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-10
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6112111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU65776Medicare UPIN