Provider Demographics
NPI:1336540285
Name:CHIRO DYNAMICS PERSONAL INJURY, INC
Entity type:Organization
Organization Name:CHIRO DYNAMICS PERSONAL INJURY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/MANAGING PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:LYNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-578-0606
Mailing Address - Street 1:20501 KATY FWY STE 108
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-1939
Mailing Address - Country:US
Mailing Address - Phone:281-578-0606
Mailing Address - Fax:281-579-0266
Practice Address - Street 1:20501 KATY FWY STE 108
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-1939
Practice Address - Country:US
Practice Address - Phone:281-578-0606
Practice Address - Fax:281-579-0266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-10
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty