Provider Demographics
NPI:1306265525
Name:YAEL GURWITZ D.C P.C
Entity type:Organization
Organization Name:YAEL GURWITZ D.C P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:YAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GURWITZ-ELKIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-242-8664
Mailing Address - Street 1:110 COLTON CT
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77316-1434
Mailing Address - Country:US
Mailing Address - Phone:954-242-8664
Mailing Address - Fax:936-273-3371
Practice Address - Street 1:6318 FM 1488 RD
Practice Address - Street 2:110
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-2763
Practice Address - Country:US
Practice Address - Phone:954-242-8664
Practice Address - Fax:936-273-3371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-15
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12438111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty