Active NPI
Magnolia Chiropractic Clinic, Inc.
- Chiropractor
- Houston, TX
National Provider Identifier
1316062292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC4643
- Legal business name
- MAGNOLIA CHIROPRACTIC CLINIC, INC.
- Practice address
- 1212 Crosstimbers St
Houston, TX 77022-3910 - Phone
- (713) 923-4000
- NPI assigned
- Mar 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Silvio Bruna, D.C.
- Title
- Vice-President
- Phone
- (713) 923-4000
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC4643 | TX | Primary |
Addresses
Primary practice location
1212 Crosstimbers St
Houston, TX 77022-3910
Mailing address
1212 Crosstimbers St
Houston, TX 77022-3910
Phone (713) 923-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5011 N Shepherd Dr
Houston, TX 77018
Phone (713) 779-3991
1212 Crosstimbers St
Houston, TX 77022
Phone (713) 697-1827
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Houston, TX
- NPI 1063409217
-
- Chiropractor
- Houston, TX
- NPI 1588504302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219622400000",
"number": "1316062292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 CROSSTIMBERS ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770223910",
"telephone_number": "713-923-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 CROSSTIMBERS ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770223910",
"telephone_number": "713-923-4000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAGNOLIA CHIROPRACTIC CLINIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-20",
"last_updated": "2008-08-25",
"status": "A",
"authorized_official_last_name": "BRUNA",
"authorized_official_first_name": "SILVIO",
"authorized_official_title_or_position": "VICE-PRESIDENT",
"authorized_official_telephone_number": "713-923-4000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "TX",
"license": "DC4643",
"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 Aug 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.