Provider Demographics
NPI:1922204171
Name:KINSEY WELLNESS CORPORATION
Entity Type:Organization
Organization Name:KINSEY WELLNESS CORPORATION
Other - Org Name:TRUE HEALTH & WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:CLINTON
Authorized Official - Middle Name:N
Authorized Official - Last Name:KINSEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-664-8150
Mailing Address - Street 1:2656 SOUTH LOOP W
Mailing Address - Street 2:SUITE 270
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2664
Mailing Address - Country:US
Mailing Address - Phone:713-664-8150
Mailing Address - Fax:713-664-8147
Practice Address - Street 1:2656 SOUTH LOOP W
Practice Address - Street 2:SUITE 270
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2664
Practice Address - Country:US
Practice Address - Phone:713-664-8150
Practice Address - Fax:713-664-8147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-25
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7019111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty