Provider Demographics
NPI:1871040667
Name:MCCADNEY MOMENTUM
Entity Type:Organization
Organization Name:MCCADNEY MOMENTUM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARYBETH
Authorized Official - Middle Name:
Authorized Official - Last Name:ASENIME
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-522-1726
Mailing Address - Street 1:2016 MAIN ST APT 708
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-8850
Mailing Address - Country:US
Mailing Address - Phone:713-498-6889
Mailing Address - Fax:
Practice Address - Street 1:2016 MAIN ST APT 708
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-8850
Practice Address - Country:US
Practice Address - Phone:713-498-6889
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-08
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center