Ursula D. Funderburk, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6673 Issued in TX

Practice address

6550 Mapleridge St Ste 222
Houston, TX 77081-4647

Phone

(713) 665-9675

Fax

(713) 665-9677

NPI assigned

Aug 21, 2007

Last updated

Aug 21, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allegiance Healthcare Alliance

  • Independent Medical Examiner Chiropractor
  • Houston, TX
  • NPI 1952227449
  Authorized official Same address or phone
• Healthworks Rehabilitation & Wellness, LLC.

  • Chiropractor
  • Houston, TX
  • NPI 1225266737
  NPD (past)

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1356534630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31473",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772311473",
            "telephone_number": "832-282-0458",
            "fax_number": "713-665-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 MAPLERIDGE ST STE 222",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770814647",
            "telephone_number": "713-665-9675",
            "fax_number": "713-665-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNDERBURK",
        "first_name": "URSULA",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6673",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "TX",
            "license": "6673",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "6673",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Functional Rehab Lab LLC
• Functional Restoration Services of Texas, LLC
• Functional Technology
• Fundacion Latinoamericana de Accion Social, Inc.
• Boyce Funderburk
• William Funes
• Katie Lokyi Fung-Yip, MD
• Aarongeorgeson Fung
• Christopher Fung, M.D.
• Daniel Tseung Fung, MD

• 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 Aug 21, 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.