The Source Chiropractic

NPI #1912512872 in Katy, Texas

Provider Information

NPI Number: 1912512872
Entity Type: Organization
Organization Name: The Source Chiropractic
Primary Specialty: Chiropractor
Enumeration Date: Sep 8, 2020
Last Updated: Sep 19, 2020

Practice Location

Address: 1926 AVENUE D
City: Katy
State: Texas
ZIP Code: 77493-1659
Phone: (713) 203-9797

Authorized Official

Name: DR. KENNETH EDWARD TATE, DC
Title: CLINICAL DIRECTOR
Phone: (713) 203-9797

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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