Provider Demographics
NPI:1154037497
Name:STUDIMIRE, ASHLEY (DC)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:STUDIMIRE
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 1:1700 KATY FORT BEND RD APT 10205
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-4592
Mailing Address - Country:US
Mailing Address - Phone:205-862-3046
Mailing Address - Fax:
Practice Address - Street 1:260 N SAM HOUSTON PKWY E STE 125
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-2018
Practice Address - Country:US
Practice Address - Phone:832-295-3430
Practice Address - Fax:832-295-3486
Is Sole Proprietor?:No
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15496111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor