Provider Demographics
NPI:1639985294
Name:CALHOUN, SAMMY O DELL (DC, DOCTOR OF CHIROP)
Entity type:Individual
Prefix:
First Name:SAMMY
Middle Name:O DELL
Last Name:CALHOUN
Suffix:
Gender:M
Credentials:DC, DOCTOR OF CHIROP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 COVERT ST
Mailing Address - Street 2:
Mailing Address - City:PALESTINE
Mailing Address - State:TX
Mailing Address - Zip Code:75801-8109
Mailing Address - Country:US
Mailing Address - Phone:346-814-2990
Mailing Address - Fax:
Practice Address - Street 1:22720 MORTON RANCH RD STE 120
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-2152
Practice Address - Country:US
Practice Address - Phone:832-271-4234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16104111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor