Provider Demographics
NPI:1184394256
Name:THE GENTLE CHIRO
Entity type:Organization
Organization Name:THE GENTLE CHIRO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:GENTLE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:346-235-8491
Mailing Address - Street 1:11420 DAIRY ASHFORD RD STE 104
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-6215
Mailing Address - Country:US
Mailing Address - Phone:713-485-0763
Mailing Address - Fax:833-909-2108
Practice Address - Street 1:11420 DAIRY ASHFORD RD STE 104
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-6215
Practice Address - Country:US
Practice Address - Phone:713-485-0763
Practice Address - Fax:833-909-2108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-20
Last Update Date:2024-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX14874OtherLICENSE NUMBER