Provider Demographics
NPI:1558177196
Name:PROSPERITY CHIROPRACTIC
Entity type:Organization
Organization Name:PROSPERITY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RILEIGH
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-703-6968
Mailing Address - Street 1:12211 HEATHERWICK DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-2059
Mailing Address - Country:US
Mailing Address - Phone:281-547-8975
Mailing Address - Fax:
Practice Address - Street 1:12211 HEATHERWICK DR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-2059
Practice Address - Country:US
Practice Address - Phone:281-547-8975
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty