Provider Demographics
NPI:1336239334
Name:ALLIED CHIROPRACTIC & MASSAGE THERAPY
Entity Type:Organization
Organization Name:ALLIED CHIROPRACTIC & MASSAGE THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:IHEOMA
Authorized Official - Middle Name:C
Authorized Official - Last Name:ABRAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-304-5851
Mailing Address - Street 1:9888 BISSONNET ST STE 530
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8250
Mailing Address - Country:US
Mailing Address - Phone:713-981-9505
Mailing Address - Fax:713-981-5825
Practice Address - Street 1:9888 BISSONNET ST STE 530
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8250
Practice Address - Country:US
Practice Address - Phone:713-981-9505
Practice Address - Fax:713-981-5825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD.C. 8742111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty