Provider Demographics
NPI:1932506193
Name:GALLOWAY CHIROPRACTIC CLINIC LLC
Entity Type:Organization
Organization Name:GALLOWAY CHIROPRACTIC CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:GALLOWAY
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:281-890-4828
Mailing Address - Street 1:9410 FM 1960 RD W
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-6211
Mailing Address - Country:US
Mailing Address - Phone:281-890-4828
Mailing Address - Fax:281-890-7721
Practice Address - Street 1:9410 FM 1960 RD W
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-6211
Practice Address - Country:US
Practice Address - Phone:281-890-4828
Practice Address - Fax:281-890-7721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-03
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2802111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty