Provider Demographics
NPI:1184059586
Name:GUILLORY, TOBY MICHAEL JR (DC)
Entity type:Individual
Prefix:DR
First Name:TOBY
Middle Name:MICHAEL
Last Name:GUILLORY
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4802 E SAM HOUSTON PKWY S STE 150
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77505-3971
Mailing Address - Country:US
Mailing Address - Phone:281-991-3002
Mailing Address - Fax:281-991-3022
Practice Address - Street 1:4802 E SAM HOUSTON PKWY S STE 150
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77505-3971
Practice Address - Country:US
Practice Address - Phone:281-991-3002
Practice Address - Fax:281-991-3022
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-05
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12265111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation