Provider Demographics
NPI:1033929310
Name:PAIN THERAPY CHIROPRACTIC LLC
Entity type:Organization
Organization Name:PAIN THERAPY CHIROPRACTIC LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON CHEUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:YUEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:510-706-9767
Mailing Address - Street 1:208 BELLA KATY DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-6821
Mailing Address - Country:US
Mailing Address - Phone:832-775-3941
Mailing Address - Fax:
Practice Address - Street 1:208 BELLA KATY DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-6821
Practice Address - Country:US
Practice Address - Phone:832-775-3941
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-09
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty