Provider Demographics
NPI:1821670266
Name:CHIROPRACTIC HEALTH CARE CENTER OF ALVIN
Entity Type:Organization
Organization Name:CHIROPRACTIC HEALTH CARE CENTER OF ALVIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER AND PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:LACOLE
Authorized Official - Last Name:LYONS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:248-433-6977
Mailing Address - Street 1:804 S HOOD ST
Mailing Address - Street 2:
Mailing Address - City:ALVIN
Mailing Address - State:TX
Mailing Address - Zip Code:77511-3459
Mailing Address - Country:US
Mailing Address - Phone:281-331-5088
Mailing Address - Fax:281-331-7473
Practice Address - Street 1:804 S HOOD ST
Practice Address - Street 2:
Practice Address - City:ALVIN
Practice Address - State:TX
Practice Address - Zip Code:77511-3459
Practice Address - Country:US
Practice Address - Phone:281-331-5088
Practice Address - Fax:281-331-7473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-26
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty