Provider Demographics
NPI:1992594410
Name:MALM CHIROPRACTOR CLINIC SERVICES
Entity type:Organization
Organization Name:MALM CHIROPRACTOR CLINIC SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JONAS
Authorized Official - Middle Name:
Authorized Official - Last Name:MALM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-774-8793
Mailing Address - Street 1:8449 W BELLFORT AVE STE 290A
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071-2245
Mailing Address - Country:US
Mailing Address - Phone:832-774-8793
Mailing Address - Fax:
Practice Address - Street 1:8449 W BELLFORT AVE STE 290A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071-2245
Practice Address - Country:US
Practice Address - Phone:832-774-8793
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty