Provider Demographics
NPI:1992028732
Name:ROB A. MAYER, DC PA
Entity Type:Organization
Organization Name:ROB A. MAYER, DC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROB
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-363-2182
Mailing Address - Street 1:25301 INTERSTATE 45
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3534
Mailing Address - Country:US
Mailing Address - Phone:281-363-2182
Mailing Address - Fax:281-292-8768
Practice Address - Street 1:25301 INTERSTATE 45
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-3534
Practice Address - Country:US
Practice Address - Phone:281-363-2182
Practice Address - Fax:281-292-8768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-08
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11284111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty