Provider Demographics
NPI:1487786497
Name:RORICK, MICHIEL KIRK (DC)
Entity type:Individual
Prefix:
First Name:MICHIEL
Middle Name:KIRK
Last Name:RORICK
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 1:2550 GRAY FALLS DR STE 120
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-6600
Mailing Address - Country:US
Mailing Address - Phone:281-496-3355
Mailing Address - Fax:281-496-4242
Practice Address - Street 1:2550 GRAY FALLS DR STE 120
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-6600
Practice Address - Country:US
Practice Address - Phone:281-496-3355
Practice Address - Fax:281-496-4242
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4293111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor