Providence Chiropractic Clinic LLC

NPI #1922717156 in Houston, Texas

Provider Information

NPI Number: 1922717156
Entity Type: Organization
Organization Name: Providence Chiropractic Clinic LLC
Primary Specialty: Chiropractor
Enumeration Date: Nov 16, 2022
Last Updated: Nov 16, 2022

Practice Location

Address: 10101 HARWIN DR STE 375
City: Houston
State: Texas
ZIP Code: 77036-1654
Phone: (832) 857-0892

Authorized Official

Name: OMOTOPE ALEXANDER
Title: ADMINISTRATOR
Phone: (832) 857-0892

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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