Provider Demographics
NPI:1740516384
Name:GOHLKE, CECILIA (DC)
Entity type:Individual
Prefix:DR
First Name:CECILIA
Middle Name:
Last Name:GOHLKE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5216 LILLIAN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-5227
Mailing Address - Country:US
Mailing Address - Phone:713-503-1137
Mailing Address - Fax:
Practice Address - Street 1:1119 ROY ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-3312
Practice Address - Country:US
Practice Address - Phone:713-876-5092
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-01
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11285111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor