59 Accident Clinic LLC
Organization Active NPI Chiropractor · Houston, TX
NPI 1295093334 · NPPES record last updated Apr 26, 2012
Key facts
- NPI
- 1295093334
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 10296 (TX)
- Legal business name
- 59 ACCIDENT CLINIC LLC
- Practice address
- 5610 Southwest Fwy
Suite 101
Houston, TX 77057 - Phone
- (713) 859-6242
- NPI assigned
- Apr 26, 2012
- Organization subpart
- No
Authorized official
- Name
- Mr. Alexei Fomine
- Title
- Managing Member
- Phone
- (713) 859-6242
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 10296 | TX | Yes |
Addresses
Primary practice location
5610 Southwest Fwy
Suite 101
Houston, TX 77057
Mailing address
5610 Southwest Fwy
Suite 101
Houston, TX 77057
Phone (713) 859-6242
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.