Provider Demographics
NPI:1972787158
Name:MANDY NGO DC, P.A.
Entity type:Organization
Organization Name:MANDY NGO DC, P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:
Authorized Official - First Name:MANDY
Authorized Official - Middle Name:Q
Authorized Official - Last Name:NGO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-484-7677
Mailing Address - Street 1:9889 BELLAIRE BLVD.
Mailing Address - Street 2:SUITE 120
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-3467
Mailing Address - Country:US
Mailing Address - Phone:713-484-7677
Mailing Address - Fax:713-484-7675
Practice Address - Street 1:9889 BELLAIRE BLVD.
Practice Address - Street 2:SUITE 120
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-3467
Practice Address - Country:US
Practice Address - Phone:713-484-7677
Practice Address - Fax:713-484-7675
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MANDY NGO DC, P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-12-24
Last Update Date:2007-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty