Provider Demographics
NPI:1295144939
Name:ELITE PERFORMANCE CHIROPRACTIC & WELLNESS PLLC
Entity type:Organization
Organization Name:ELITE PERFORMANCE CHIROPRACTIC & WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BILLY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEONG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:832-925-6004
Mailing Address - Street 1:2901 WILCREST DR
Mailing Address - Street 2:SUITE 140
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-3399
Mailing Address - Country:US
Mailing Address - Phone:832-925-6004
Mailing Address - Fax:832-649-3737
Practice Address - Street 1:2901 WILCREST DR
Practice Address - Street 2:SUITE 140
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-3399
Practice Address - Country:US
Practice Address - Phone:832-925-6004
Practice Address - Fax:832-649-3737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-06
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12279111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty