Provider Demographics
NPI:1932485984
Name:DR. SEAN RODEN DC, PLLC
Entity Type:Organization
Organization Name:DR. SEAN RODEN DC, PLLC
Other - Org Name:NEXT LEVEL HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:RODEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-608-5330
Mailing Address - Street 1:2685 HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77702-1201
Mailing Address - Country:US
Mailing Address - Phone:409-242-6442
Mailing Address - Fax:855-669-9969
Practice Address - Street 1:2685 HARRISON ST
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702-1201
Practice Address - Country:US
Practice Address - Phone:409-242-6442
Practice Address - Fax:855-669-9969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-21
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11356261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center