New Life Source Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11294 Issued in TX

Legal business name

NEW LIFE SOURCE CHIROPRACTIC LLC

Practice address

3100 Timmons LN Ste 140
Houston, TX 77027-5925

Phone

(713) 621-2600

Fax

(713) 893-6907

NPI assigned

Aug 30, 2012

Organization subpart

No

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

Authorized official

Name

Dr. John Kress Williams Jr., D.C.

Title

Doctor of Chiropractic/Owner

Phone

(713) 621-2600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1750630208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 TIMMONS LN STE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770275925",
            "telephone_number": "713-621-2600",
            "fax_number": "713-893-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 TIMMONS LN STE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770275925",
            "telephone_number": "713-621-2600",
            "fax_number": "713-893-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE SOURCE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "KRESS",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC/OWNER",
        "authorized_official_telephone_number": "713-621-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11294",
            "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 Aug 30, 2012; 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.