Provider Demographics
NPI:1821362971
Name:IGUESS, LANCE ALLEN (DC)
Entity Type:Individual
Prefix:DR
First Name:LANCE
Middle Name:ALLEN
Last Name:IGUESS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 CRAWFORD ST
Mailing Address - Street 2:SUITE 1220
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-9000
Mailing Address - Country:US
Mailing Address - Phone:713-652-4052
Mailing Address - Fax:713-652-5868
Practice Address - Street 1:2000 CRAWFORD ST
Practice Address - Street 2:SUITE 1220
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-9000
Practice Address - Country:US
Practice Address - Phone:713-652-4052
Practice Address - Fax:713-652-5868
Is Sole Proprietor?:No
Enumeration Date:2012-03-06
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11985111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor