Provider Demographics
NPI:1649374869
Name:CHIROHEALTH & REHAB
Entity type:Organization
Organization Name:CHIROHEALTH & REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:QUINN
Authorized Official - Middle Name:VAN
Authorized Official - Last Name:BUI
Authorized Official - Suffix:
Authorized Official - Credentials:DC MPH MS
Authorized Official - Phone:281-405-8009
Mailing Address - Street 1:9815 BAMMEL N HOUSTON
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77086
Mailing Address - Country:US
Mailing Address - Phone:281-405-8009
Mailing Address - Fax:281-405-0899
Practice Address - Street 1:9815 BAMMEL N HOUSTON
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77086
Practice Address - Country:US
Practice Address - Phone:281-405-8009
Practice Address - Fax:281-405-0899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-08
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9734111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5682942Other1ST HEALTH NET
TX608147OtherBCBS
TX611760Medicare ID - Type Unspecified
TX608147OtherBCBS