A.G. Braddick, D.C., P.C.
Organization Active NPI Chiropractor · Humble, TX
NPI 1760643233 · NPPES record last updated Oct 1, 2009
Key facts
- NPI
- 1760643233
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2170 (TX)
- Legal business name
- A.G. BRADDICK, D.C., P.C.
- Practice address
- 1305 1St St E
Humble, TX 77338-4925 - Phone
- (281) 446-1041
- Fax
- (281) 446-4885
- NPI assigned
- Jun 18, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Anthony George Braddick, D.C.
- Title
- President
- Phone
- (281) 446-1041
National Provider Directory
Locations
1305 E 1st St
Humble, TX 77338
Phone (281) 446-1041
1305 E 1st St
Ste A
Humble, TX 77338
Phone (281) 446-1041
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 2170 | TX | Yes |
Addresses
Primary practice location
1305 1St St E
Humble, TX 77338-4925
Mailing address
1305 1St St E Ste a
Humble, TX 77338-4855
Phone (281) 446-1041
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DO2351 | Other | TX | MEDICARE RAILROAD |
Other names
- New Life Chiropractic Center
Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2009. 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.