Provider Demographics
NPI:1366221806
Name:MANN, ANUDIP KAUR (DC)
Entity type:Individual
Prefix:
First Name:ANUDIP
Middle Name:KAUR
Last Name:MANN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ANUDIP
Other - Middle Name:KAUR
Other - Last Name:DHILLON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:13431 INDIGO TRACE CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-3461
Mailing Address - Country:US
Mailing Address - Phone:559-696-9716
Mailing Address - Fax:
Practice Address - Street 1:7037 SH-6 N
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095
Practice Address - Country:US
Practice Address - Phone:832-900-2582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14973111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty