Provider Demographics
NPI:1972327831
Name:WALLER COUNTY CHIROPRACTICAND MEDICAL SOLUTIONS
Entity type:Organization
Organization Name:WALLER COUNTY CHIROPRACTICAND MEDICAL SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BARBER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:832-545-3719
Mailing Address - Street 1:1206 11TH ST
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:TX
Mailing Address - Zip Code:77445-5260
Mailing Address - Country:US
Mailing Address - Phone:979-921-0700
Mailing Address - Fax:979-921-0455
Practice Address - Street 1:1206 11TH ST
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:TX
Practice Address - Zip Code:77445-5260
Practice Address - Country:US
Practice Address - Phone:979-921-0700
Practice Address - Fax:979-921-0455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-08
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty