Provider Demographics
NPI:1922120039
Name:DDP TRUST
Entity Type:Organization
Organization Name:DDP TRUST
Other - Org Name:THE HEALING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MARROW
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-047-7703
Mailing Address - Street 1:607 B PARK GROVE DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450
Mailing Address - Country:US
Mailing Address - Phone:281-647-7703
Mailing Address - Fax:281-647-7706
Practice Address - Street 1:607 B PARK GROVE DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450
Practice Address - Country:US
Practice Address - Phone:281-647-7703
Practice Address - Fax:281-647-7706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5715111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8X7540OtherBCBS
TX8X7540Medicare ID - Type Unspecified
TX8X7540OtherBCBS