Provider Demographics
NPI:1801137260
Name:PHYSICAL HEALTHINSTITUTE OF TEXAS, INC.
Entity type:Organization
Organization Name:PHYSICAL HEALTHINSTITUTE OF TEXAS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ADOLF
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-524-5544
Mailing Address - Street 1:PO BOX 980100
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-0100
Mailing Address - Country:US
Mailing Address - Phone:713-524-5544
Mailing Address - Fax:
Practice Address - Street 1:4019 RICHMOND AVE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-6817
Practice Address - Country:US
Practice Address - Phone:713-524-5544
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-11
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Multi-Specialty