Provider Demographics
NPI:1548334568
Name:SSSDC CHIROPRACTIC ASSOCIATES
Entity type:Organization
Organization Name:SSSDC CHIROPRACTIC ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-376-1288
Mailing Address - Street 1:2316 TIMBER SHADOWS DR
Mailing Address - Street 2:SUITE, 102
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-2025
Mailing Address - Country:US
Mailing Address - Phone:281-358-8585
Mailing Address - Fax:281-358-1982
Practice Address - Street 1:2316 TIMBER SHADOWS DR
Practice Address - Street 2:SUITE, 102
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-2025
Practice Address - Country:US
Practice Address - Phone:281-358-8585
Practice Address - Fax:281-358-1982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC6605111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty