Provider Demographics
NPI:1932116274
Name:CLINTON, JOE EDWARD II (DC)
Entity Type:Individual
Prefix:DR
First Name:JOE
Middle Name:EDWARD
Last Name:CLINTON
Suffix:II
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4654 HIGHWAY 6 N STE 305
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-2879
Mailing Address - Country:US
Mailing Address - Phone:281-855-2277
Mailing Address - Fax:281-855-2292
Practice Address - Street 1:4654 HIGHWAY 6 N STE 305
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-2879
Practice Address - Country:US
Practice Address - Phone:281-855-2277
Practice Address - Fax:281-855-2292
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6648111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1932116274OtherNPI
TXU57753Medicare UPIN
TX1932116274OtherNPI