Provider Demographics
NPI:1316928567
Name:GAIGHER, LUCIANO (DC)
Entity type:Individual
Prefix:DR
First Name:LUCIANO
Middle Name:
Last Name:GAIGHER
Suffix:
Gender:M
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:PO BOX 58305
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77258-8305
Mailing Address - Country:US
Mailing Address - Phone:281-333-5770
Mailing Address - Fax:281-335-0444
Practice Address - Street 1:1120 NASA PKWY
Practice Address - Street 2:STE 106
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-3320
Practice Address - Country:US
Practice Address - Phone:281-333-5770
Practice Address - Fax:281-335-0444
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2882111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001203101Medicaid
T13365Medicare UPIN
TX601268Medicare ID - Type Unspecified