Provider Demographics
NPI:1255883518
Name:MAGBAG CHIROPRACTIC EAST, P.A.
Entity type:Organization
Organization Name:MAGBAG CHIROPRACTIC EAST, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGBAG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-459-1894
Mailing Address - Street 1:12747 EAST FWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77015-5605
Mailing Address - Country:US
Mailing Address - Phone:281-501-3511
Mailing Address - Fax:
Practice Address - Street 1:12747 EAST FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015-5605
Practice Address - Country:US
Practice Address - Phone:281-501-3511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-02
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8367111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty