Provider Demographics
NPI:1740687102
Name:ALDERSON CLINIC OF CHIROPRACTIC PC
Entity type:Organization
Organization Name:ALDERSON CLINIC OF CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC,CCN
Authorized Official - Phone:713-339-2000
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:77063-1626
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 2:103
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-01
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9870111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty