My Sport Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10305 Issued in TX

Legal business name

MY SPORT CHIROPRACTIC LLC

Practice address

6370 N Eldridge Pkwy Ste C
Houston, TX 77041-3517

Phone

(281) 556-5200

Fax

(281) 556-5251

NPI assigned

Feb 19, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Babush Faridi, DC

Title

President

Phone

(281) 556-5200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518998400000",
    "number": "1780184507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6370 N ELDRIDGE PKWY STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770413517",
            "telephone_number": "281-556-5200",
            "fax_number": "281-556-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6370 N ELDRIDGE PKWY STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770413517",
            "telephone_number": "281-556-5200",
            "fax_number": "281-556-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY SPORT CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-19",
        "last_updated": "2018-02-19",
        "status": "A",
        "authorized_official_last_name": "FARIDI",
        "authorized_official_first_name": "BABUSH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-556-5200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10305",
            "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 Feb 19, 2018; 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.