Provider Demographics
NPI:1184312407
Name:CORE-RECT CHIROPRACTIC AND WELLNESS LLC
Entity type:Organization
Organization Name:CORE-RECT CHIROPRACTIC AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:UGOCHUKWU
Authorized Official - Middle Name:MAGNUS
Authorized Official - Last Name:AGBILIBEAZU
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:832-310-3480
Mailing Address - Street 1:2507 S MISSION CIR
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-5942
Mailing Address - Country:US
Mailing Address - Phone:832-310-3480
Mailing Address - Fax:
Practice Address - Street 1:17000 EL CAMINO REAL STE 201C
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-2636
Practice Address - Country:US
Practice Address - Phone:832-310-3480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-25
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty