Provider Demographics
NPI:1851629927
Name:VILLAGE NATURAL HEALTH, LLC
Entity Type:Organization
Organization Name:VILLAGE NATURAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-292-4777
Mailing Address - Street 1:7901 RESEARCH FOREST DR
Mailing Address - Street 2:#900
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77382-1482
Mailing Address - Country:US
Mailing Address - Phone:281-292-4777
Mailing Address - Fax:281-292-4828
Practice Address - Street 1:7901 RESEARCH FOREST DR
Practice Address - Street 2:#900
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77382-1482
Practice Address - Country:US
Practice Address - Phone:281-292-4777
Practice Address - Fax:281-292-4828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-30
Last Update Date:2009-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11306111N00000X
TX11300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty