Provider Demographics
NPI:1851414155
Name:CLAREWOOD CHIROPRACTIC CLINIC, P.C.
Entity Type:Organization
Organization Name:CLAREWOOD CHIROPRACTIC CLINIC, P.C.
Other - Org Name:CLAREWOOD CHIROPRACTIC CENTER
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:S
Authorized Official - Last Name:LIU
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-594-3379
Mailing Address - Street 1:9630 CLAREWOOD DR
Mailing Address - Street 2:SUITE A-3
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-3512
Mailing Address - Country:US
Mailing Address - Phone:713-484-7400
Mailing Address - Fax:713-484-7405
Practice Address - Street 1:9630 CLAREWOOD DR
Practice Address - Street 2:SUITE A-3
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-3512
Practice Address - Country:US
Practice Address - Phone:713-484-7400
Practice Address - Fax:713-484-7405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2012-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8905111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0002JKOtherBC BS FACILITY NO
TX=========OtherTIN
TX=========OtherTIN