Provider Demographics
NPI:1720302425
Name:ALDERSON, JOHN (DC, CCN)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:
Last Name:ALDERSON
Suffix:
Gender:M
Credentials:DC, CCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7880 SAN FELIPE ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-1649
Mailing Address - Country:US
Mailing Address - Phone:713-339-2000
Mailing Address - Fax:713-339-2005
Practice Address - Street 1:7880 SAN FELIPE ST
Practice Address - Street 2:SUITE 103
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-1626
Practice Address - Country:US
Practice Address - Phone:713-339-2000
Practice Address - Fax:713-339-2005
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-24
Last Update Date:2016-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9870111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor