Provider Demographics
NPI:1073855789
Name:ROC & BODYWORKS LLC
Entity type:Organization
Organization Name:ROC & BODYWORKS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:PEEPLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-953-1356
Mailing Address - Street 1:2400 AUGUSTA DR
Mailing Address - Street 2:210
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-4922
Mailing Address - Country:US
Mailing Address - Phone:713-953-1356
Mailing Address - Fax:713-278-7885
Practice Address - Street 1:2400 AUGUSTA DR
Practice Address - Street 2:210
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-4922
Practice Address - Country:US
Practice Address - Phone:713-953-1356
Practice Address - Fax:713-278-7885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-20
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6894111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty