Provider Demographics
NPI:1861663353
Name:SEVEN PORTS, LLC
Entity Type:Organization
Organization Name:SEVEN PORTS, LLC
Other - Org Name:KATY LIFESTYLE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAMBERT
Authorized Official - Middle Name:ELLIOT
Authorized Official - Last Name:COLIINS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-347-4444
Mailing Address - Street 1:23116 CINCO RANCH BLVD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-2891
Mailing Address - Country:US
Mailing Address - Phone:281-347-4444
Mailing Address - Fax:281-347-4445
Practice Address - Street 1:23116 CINCO RANCH BLVD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-2891
Practice Address - Country:US
Practice Address - Phone:281-347-4444
Practice Address - Fax:281-347-4445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-12
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10722111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty