Provider Demographics
NPI:1982986469
Name:CHIRO DYNAMICS, INC
Entity Type:Organization
Organization Name:CHIRO DYNAMICS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:NEMOW
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-578-0606
Mailing Address - Street 1:20501 KATY FWY
Mailing Address - Street 2:SUITE 112
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-1935
Mailing Address - Country:US
Mailing Address - Phone:281-578-0606
Mailing Address - Fax:
Practice Address - Street 1:20501 KATY FWY
Practice Address - Street 2:SUITE 130
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-1935
Practice Address - Country:US
Practice Address - Phone:281-578-0606
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-12
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10206111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty