Provider Demographics
NPI:1144526112
Name:ESSENTIAL CHIROPRACTIC & WELLNESS CENTER LLC
Entity type:Organization
Organization Name:ESSENTIAL CHIROPRACTIC & WELLNESS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAOLA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ARIAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:832-524-3927
Mailing Address - Street 1:5403 BISSONNET ST
Mailing Address - Street 2:STE A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-6605
Mailing Address - Country:US
Mailing Address - Phone:832-524-3927
Mailing Address - Fax:
Practice Address - Street 1:5403 BISSONNET ST
Practice Address - Street 2:STE A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-6605
Practice Address - Country:US
Practice Address - Phone:832-524-3927
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-08
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11655111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB126252Medicare PIN