Provider Demographics
NPI:1952608267
Name:SOUTHWEST FAMILY CHIROPRACTIC CENTER, L.L.C
Entity Type:Organization
Organization Name:SOUTHWEST FAMILY CHIROPRACTIC CENTER, L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TUYEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BUI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:832-598-2977
Mailing Address - Street 1:9220 HIGHWAY 6 S
Mailing Address - Street 2:SUITE C
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-6444
Mailing Address - Country:US
Mailing Address - Phone:832-598-2977
Mailing Address - Fax:
Practice Address - Street 1:9220 HIGHWAY 6 S
Practice Address - Street 2:SUITE C
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-6444
Practice Address - Country:US
Practice Address - Phone:832-598-2977
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-23
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9696111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty