Provider Demographics
NPI:1154955888
Name:ALTERNATIVE HEALTH CENTER OF THE WOODLANDS
Entity type:Organization
Organization Name:ALTERNATIVE HEALTH CENTER OF THE WOODLANDS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:RILEY
Authorized Official - Suffix:
Authorized Official - Credentials:CHIROPRACTOR
Authorized Official - Phone:405-420-3424
Mailing Address - Street 1:2829 TECHNOLOGY FOREST BLVD STE 250
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-3913
Mailing Address - Country:US
Mailing Address - Phone:281-419-9104
Mailing Address - Fax:
Practice Address - Street 1:2829 TECHNOLOGY FOREST BLVD STE 250
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-3913
Practice Address - Country:US
Practice Address - Phone:281-419-9104
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-03
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1356517494Medicaid
TX1821289786Medicaid