Organization · NPI-2
59 Accident Clinic LLC
Chiropractor · Houston, TX
NPI number1295093334
StatusActive
Last updated in NPPESApr 26, 2012
Details
- NPI
- 1295093334
- Entity type
- Organization (NPI-2)
- Legal business name
- 59 Accident Clinic LLC
- Organization subpart
- No
- Enumeration date
- Apr 26, 2012
- Last updated
- Apr 26, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 10296 | TX | Yes |
Practice location
5610 Southwest FwySuite 101
Houston, TX 77057
Phone 713-859-6242
Mailing address
5610 Southwest FwySuite 101
Houston, TX 77057
Phone 713-859-6242
Authorized official
Alexei Fomine
Managing Member
7138596242
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