Organization Active NPI

Jacinto City Wellness Clinic PA

  • Chiropractor
  • Houston, TX
National Provider Identifier
1215130174
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JACINTO CITY WELLNESS CLINIC PA
Practice address
1202 Holland St
Houston, TX 77029-2202
Phone
(713) 455-4344
Fax
(713) 455-4247
NPI assigned
Jun 7, 2007
Last updated
Oct 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Juan C. Galvan, D.C.NPI 1639372576
Title
Chiropractor
Phone
(713) 455-4344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1202 Holland St
Houston, TX 77029-2202

Mailing address

PO Box 503
Galena Park, TX 77547-0503
Phone (713) 455-4344

National Provider Directory

National Provider Directory

Locations

1202 Holland St
Jacinto City, TX 77029
Phone (713) 455-4344

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1215130174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 503",
            "city": "GALENA PARK",
            "state": "TX",
            "postal_code": "775470503",
            "telephone_number": "713-455-4344",
            "fax_number": "713-455-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 HOLLAND ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770292202",
            "telephone_number": "713-455-4344",
            "fax_number": "713-455-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACINTO CITY WELLNESS CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "GALVAN",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "713-455-4344",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.