Provider Demographics
NPI:1124246608
Name:LAMBETH FAMILY CHIROPRACTIC
Entity type:Organization
Organization Name:LAMBETH FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMBETH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-497-5577
Mailing Address - Street 1:1500 S DAIRY ASHFORD ST
Mailing Address - Street 2:SUITE 225
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-3854
Mailing Address - Country:US
Mailing Address - Phone:281-497-5577
Mailing Address - Fax:281-533-0032
Practice Address - Street 1:1500 S DAIRY ASHFORD ST
Practice Address - Street 2:SUITE 225
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-3854
Practice Address - Country:US
Practice Address - Phone:281-497-5577
Practice Address - Fax:281-533-0032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX017023225700000X
TX5860111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5860OtherSTATE LICENSE