Provider Demographics
NPI:1932713351
Name:HOUSTON, JEFFREY LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:LEE
Last Name:HOUSTON
Suffix:
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 1:1532 N EMERSON ST
Mailing Address - Street 2:UNIT 104
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1450
Mailing Address - Country:US
Mailing Address - Phone:901-201-7961
Mailing Address - Fax:
Practice Address - Street 1:1519 PARK CENTRAL DR
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-2759
Practice Address - Country:US
Practice Address - Phone:720-486-0953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-02
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0008121111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor