Provider Demographics
NPI:1265176838
Name:BORIPRACTIK
Entity type:Organization
Organization Name:BORIPRACTIK
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SUGEILY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:DAVILA VAZQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:787-361-0302
Mailing Address - Street 1:14900 MEMORIAL DR APT 229
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-4059
Mailing Address - Country:US
Mailing Address - Phone:787-361-0302
Mailing Address - Fax:
Practice Address - Street 1:21777 MERCHANTS WAY STE 240
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-6883
Practice Address - Country:US
Practice Address - Phone:787-361-0302
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-20
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty