Provider Demographics
NPI:1891209383
Name:ADVANCED HEALTH CHIROPRACTIC
Entity Type:Organization
Organization Name:ADVANCED HEALTH CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:U
Authorized Official - Last Name:POUNDS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:979-583-6090
Mailing Address - Street 1:1733 BRIARCREST DR STE 203
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77802-2755
Mailing Address - Country:US
Mailing Address - Phone:979-485-1688
Mailing Address - Fax:844-888-0315
Practice Address - Street 1:1733 BRIARCREST DR STE 203
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-2755
Practice Address - Country:US
Practice Address - Phone:979-485-1688
Practice Address - Fax:844-888-0315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-20
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13412111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1891209383OtherNPI-2
TX1528572013OtherNPI-1