Provider Demographics
NPI:1306049697
Name:PECTOR, GRANT BENJAMIN (DC)
Entity type:Individual
Prefix:DR
First Name:GRANT
Middle Name:BENJAMIN
Last Name:PECTOR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:10834 FERN TERRACE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77075-5052
Mailing Address - Country:US
Mailing Address - Phone:713-991-1487
Mailing Address - Fax:713-991-1487
Practice Address - Street 1:10904 SCARSDALE BLVD STE 258
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-6034
Practice Address - Country:US
Practice Address - Phone:281-481-6170
Practice Address - Fax:281-481-6178
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8003111N00000X, 111NI0013X, 111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111N00000XChiropractic ProvidersChiropractor
Not Answered111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner
Not Answered111NR0400XChiropractic ProvidersChiropractorRehabilitation