Agility Rehabilitation and Injury Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11658 Issued in TX

Legal business name

AGILITY REHABILITATION AND INJURY CENTER

Practice address

3402 Old Spanish TRL
Suite B
Houston, TX 77021-2265

Phone

(281) 974-3544

Fax

(281) 974-3587

NPI assigned

Sep 12, 2014

Last updated

Sep 12, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Maurice Meshack, D.C.

Title

Doctor of Chiropractic

Phone

(281) 974-3544

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410480000000",
    "number": "1285035915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3402 OLD SPANISH TRL",
            "address_2": "SUITE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770212265",
            "telephone_number": "281-974-3544",
            "fax_number": "281-974-3587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 OLD SPANISH TRL",
            "address_2": "SUITE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770212265",
            "telephone_number": "281-974-3544",
            "fax_number": "281-974-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGILITY REHABILITATION AND INJURY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-12",
        "last_updated": "2014-09-12",
        "status": "A",
        "authorized_official_last_name": "MESHACK",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "MAURICE",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "281-974-3544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Houston, TX
• Providers in Houston, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; 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.