Provider Demographics
NPI:1932512860
Name:CANADA CHIROPRACTIC. PLLC
Entity Type:Organization
Organization Name:CANADA CHIROPRACTIC. PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:D
Authorized Official - Last Name:CANADA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:832-409-9940
Mailing Address - Street 1:8830 LONG POINT RD
Mailing Address - Street 2:STE 504
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-3040
Mailing Address - Country:US
Mailing Address - Phone:832-409-9940
Mailing Address - Fax:866-486-2916
Practice Address - Street 1:18611 FM 529 RD
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-1150
Practice Address - Country:US
Practice Address - Phone:832-409-4913
Practice Address - Fax:866-486-2916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-09
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11947111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty