DYNAMIC SPINE AND PERFORMANCE CENTER, LLC (NPI# 1649787631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649787631 |
Entity Type | Organization |
Organization Name | DYNAMIC SPINE AND PERFORMANCE CENTER, LLC |
Practice Address |
11511 Katy Fwy Suite 418 Houston TX 77079-1903 |
Practice Telephone | 7139557972 |
Practice Fax Number | 7135888445 |
Mailing Telephone | 7139557972 |
Mailing Fax Number | 7135888445 |
Enumeration Date | 2017-12-29 |
Last Update Date | 2017-12-29 |
Authorized Official Name | DR. STEPHEN TYLER FORD (OWNER) |
Authorized Official Telephone | 2817703613 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | Chiropractic Providers |
Street Address |
11511 KATY FWY SUITE 418 |
City | HOUSTON |
State | TX |
Zip Code | 77079-1903 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225184781 | Melanie E St. Laurent | Nurse Practitioner | 11511 Katy Fwy, Houston, TX 77079-1903 | 2007-01-26 |
1811286065 | Celine Medlock | Counselor | 11511 Katy Fwy, Suite 410, Houston, TX 77079-1903 | 2011-03-28 |
1104156413 | Westride Ems Inc | Ambulance | 11511 Katy Fwy, 538, Houston, TX 77079-1903 | 2010-01-08 |
1376738948 | Laura E Alvarez | Physician Assistant | 11511 Katy Fwy, Suite 510, Houston, TX 77079-1903 | 2007-09-07 |
1447440128 | Emily Pease Stephens | Counselor | 11511 Katy Fwy, Suite 410, Houston, TX 77079-1903 | 2007-07-27 |
1215078530 | Rodolfo J Orna | Counselor | 11511 Katy Fwy, Suite # 355, Houston, TX 77079-1903 | 2007-02-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982213542 | Apg Ancillaries LLC | Durable Medical Equipment & Medical Supplies | 14811 Saint Marys Ln Ste 152, Houston, TX 77079 | 2020-07-29 |
1982244174 | Agatha Nwosu | Registered Nurse | 1155 Dairy Ashford Rd Suite 560, Houston, TX 77079 | 2020-01-15 |
1164924650 | Victoria Okon | Licensed Vocational Nurse | 14461 Still Meadow Dr., Houston, TX 77079 | 2018-03-01 |
1649711623 | Deon Flenoy | Case Manager/Care Coordinator | 14027 Memorial Dr # 419, Houston, TX 77079 | 2017-03-10 |
1396298428 | Supriya Krishnan | Optometrist | 14634 Memorial Dr, Houston, TX 77079 | 2016-07-25 |
1942670401 | Medfast Pediatric & Family Clinic | Nurse Practitioner | 14520 Old Katy Rd, St 109, Houston, TX 77079 | 2015-09-28 |
1558742106 | Evan Christopher Adams | Dentist | 909 Dairy Ashford Rd Ste 104, Houston, TX 77079 | 2015-06-09 |
1114313152 | Yun Li | Internal Medicine | 13140 Trail Hollow Dr, Houston, TX 77079 | 2015-04-07 |
1629460308 | Michelle Maligaya | Registered Nurse | 1201 N Dairy Ashford Rd Ste 100, Houston, TX 77079 | 2015-03-04 |
1144611989 | Ryan M Keutzer | Hearing Instrument Specialist | 12900 Queensbury Ln #100, Houston, TX 77079 | 2015-02-16 |
Find all providers in zip 77079 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891395166 | Henry Pham | Chiropractor | 8900 Lakes At 610 Dr Apt 322, Houston, TX 77054-2881 | 2020-10-27 |
1023615408 | Alma Therapeutic LLC | Chiropractor | 6201 Bonhomme Rd Ste 340n, Houston, TX 77036-4430 | 2020-10-08 |
1306453402 | Kayla Shea Day | Chiropractor | 1 City Club Dr, Houston, TX 77046-4602 | 2020-09-23 |
1255946059 | All Health Medical & Rehab, Pllc | Chiropractor | 6831 Navigation Blvd, Houston, TX 77011-1452 | 2020-09-09 |
1114545266 | Peak Potential Houston Heights LLC | Chiropractor | 6212 N Main St Ste C, Houston, TX 77009-2496 | 2020-07-06 |
1770108326 | Alicia Danielle Burns | Chiropractor | 1120 Nasa Pkwy Ste 324, Houston, TX 77058-3366 | 2020-06-09 |
1417577065 | Bryan David Valdez | Chiropractor | 8151 Silent Cedars Dr, Houston, TX 77095-1814 | 2020-04-23 |
1346878329 | Tanya N Young | Chiropractor | 2120 Capitol St Apt 3407, Houston, TX 77003-3146 | 2020-03-27 |
1336774736 | Hinal Patel | Chiropractor | 13040 Fm 529 Rd. Ste. G, Houston, TX 77041 | 2020-03-05 |
1568097020 | Abraham Angel Gutierrez Jr. | Chiropractor | 1533 N Shepherd Dr # 240, Houston, TX 77008-3755 | 2020-03-05 |
Find all providers in HOUSTON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.