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NPI 1477714954 Active Chiropractor, Rehabilitation

Quick Facts

NPI Number

1477714954

Type

Organization (NPI-2)

Status

Active

Enumeration Date

2008-06-18

Last Updated (NPPES)

2008-06-18

Primary Specialty / Taxonomy

Taxonomy	Chiropractor, Rehabilitation
Taxonomy Code	`111NR0400X`
License	9316 TX

Other Taxonomies

Family Medicine — License K9516
Physical Medicine & Rehabilitation — License K9516

Practice Address

9330 BROADWAY ST
SUITE 410
PEARLAND, TX 775847891

Phone: 281-412-7483

Fax: 281-412-7484

Mailing Address

9330 BROADWAY ST
PEARLAND, TX 775847891

Data sourced live from the CMS NPPES NPI Registry (npiregistry.cms.hhs.gov) and cached locally. This is a public directory lookup, not a credentialing or verification service — confirm critical details directly with NPPES or the provider.