Provider Demographics
NPI:1710725635
Name:PICAZO, CORI (DC)
Entity type:Individual
Prefix:DR
First Name:CORI
Middle Name:
Last Name:PICAZO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1810 ARCADIA DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-2206
Mailing Address - Country:US
Mailing Address - Phone:713-594-1630
Mailing Address - Fax:
Practice Address - Street 1:2810 OAK RUN PKWY
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78132-4757
Practice Address - Country:US
Practice Address - Phone:830-625-6011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16043111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor