Cr Custom Chiropractic PLLC
Chiropractor in College Station, TX. Organization (NPI-2).
NPI number1376354506
StatusActive
Last updated in NPPESJan 16, 2025
Details
- NPI
- 1376354506
- Entity type
- Organization (NPI-2)
- Legal business name
- Cr Custom Chiropractic PLLC
- Organization subpart
- No
- Enumeration date
- Jan 16, 2025
- Certification date
- Jan 16, 2025
- Last updated
- Jan 16, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
Other names
- University Chiropractic (Doing Business As)
Practice location
404 University Dr E Ste ECollege Station, TX 77840-1743
Phone 979-446-0075
Mailing address
2910 Briarcreek CtBryan, TX 77802-2107
Phone 979-446-0075
Authorized official
Cole Randall Roemer
Owner
9794460075
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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