Provider Demographics
NPI:1851589501
Name:CHIROPRACTIC & REHAB CENTRE OF HOUSTON AND ASSOCIATES PA
Entity Type:Organization
Organization Name:CHIROPRACTIC & REHAB CENTRE OF HOUSTON AND ASSOCIATES PA
Other - Org Name:BACS CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HONG
Authorized Official - Middle Name:DIEM
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-664-0110
Mailing Address - Street 1:5713 BISSONNET ST STE C
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4729
Mailing Address - Country:US
Mailing Address - Phone:713-664-0110
Mailing Address - Fax:
Practice Address - Street 1:5713 BISSONNET ST STE C
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4729
Practice Address - Country:US
Practice Address - Phone:713-664-0110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC 9323111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8C5919Medicare UPIN