Provider Demographics
NPI:1063447688
Name:LABRADA, LOURDES H (DC)
Entity type:Individual
Prefix:DR
First Name:LOURDES
Middle Name:H
Last Name:LABRADA
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 1:4801 WOODWAY DR
Mailing Address - Street 2:SUITE 369W
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-1884
Mailing Address - Country:US
Mailing Address - Phone:713-622-7060
Mailing Address - Fax:713-622-7093
Practice Address - Street 1:4801 WOODWAY DR
Practice Address - Street 2:SUITE 369W
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-1884
Practice Address - Country:US
Practice Address - Phone:713-622-7060
Practice Address - Fax:713-622-7093
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10086111N00000X, 111NS0005X, 111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NS0005XChiropractic ProvidersChiropractorSports Physician
No111NR0400XChiropractic ProvidersChiropractorRehabilitation