Great Lakes Healthcare, Inc.
NPI #1225482557 in League City, Texas
Provider Information
- NPI Number
- 1225482557
- Entity Type
- Organization
- Organization Name
- Great Lakes Healthcare, Inc.
- Primary Specialty
- Chiropractor - Sports Physician
- Enumeration Date
- Apr 23, 2016
- Last Updated
- Jan 19, 2017
Practice Location
- Address
- 3033 MARINA BAY DR
- Address 2
- SUITE 200
- City
- League City
- State
- Texas
- ZIP Code
- 77573-3984
- Phone
- (713) 425-2524
Authorized Official
- Name
- DR. EARL F. HENDRIKZ, DC, CCSP
- Title
- PRESIDENT
- Phone
- (713) 425-2524
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
| Chiropractor - Sports Physician — Sports Physician |
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