Provider Demographics
NPI:1245317452
Name:PASADENA CLINICS, INC.
Entity type:Organization
Organization Name:PASADENA CLINICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:BRADY
Authorized Official - Last Name:SAND
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-473-4325
Mailing Address - Street 1:1702 STRAWBERRY RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77502-2618
Mailing Address - Country:US
Mailing Address - Phone:713-473-4325
Mailing Address - Fax:281-271-4662
Practice Address - Street 1:1702 STRAWBERRY RD
Practice Address - Street 2:SUITE 204
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77502-2618
Practice Address - Country:US
Practice Address - Phone:713-473-4325
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2852111NI0900X, 111NN1001X, 111NR0400X, 111NX0100X, 111NX0800X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No111NI0900XChiropractic ProvidersChiropractorInternistGroup - Single Specialty
No111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty
No111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
No111NX0100XChiropractic ProvidersChiropractorOccupational HealthGroup - Single Specialty
No111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Single Specialty