Provider Demographics
NPI:1134357148
Name:ABUNDANT LIFE CHIROPRACTIC PA
Entity type:Organization
Organization Name:ABUNDANT LIFE CHIROPRACTIC PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:ZAINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-292-6300
Mailing Address - Street 1:9006 FOREST CROSSING
Mailing Address - Street 2:SUITE B
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381
Mailing Address - Country:US
Mailing Address - Phone:281-292-6300
Mailing Address - Fax:281-292-6388
Practice Address - Street 1:24911 KUYKENDAHL
Practice Address - Street 2:SUITE B
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375
Practice Address - Country:US
Practice Address - Phone:281-516-1138
Practice Address - Fax:281-516-1183
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABUNDANT LIFE CHIROPRACTIC PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-06-29
Last Update Date:2009-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10169111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty