Provider Demographics
NPI:1720264328
Name:FAMILY CHIROPRACTIC HEALTH CENTER
Entity Type:Organization
Organization Name:FAMILY CHIROPRACTIC HEALTH CENTER
Other - Org Name:BAYTOWN BACK PAIN & HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-422-8811
Mailing Address - Street 1:507 ROLLINGBROOK ST
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-4036
Mailing Address - Country:US
Mailing Address - Phone:281-422-8811
Mailing Address - Fax:281-422-5372
Practice Address - Street 1:507 ROLLINGBROOK ST
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-4036
Practice Address - Country:US
Practice Address - Phone:281-422-8811
Practice Address - Fax:281-422-5372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-14
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2361111NS0005X
TX4489111NS0005X
TX8575111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX83V560Medicare PIN
TX83V561Medicare PIN