Organization Active NPI

P, M, & R Specialists of Texas

  • Occupational Health Chiropractor
  • Houston, TX
National Provider Identifier
1801338322
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health ChiropractorTaxonomy code 111NX0100X
Legal business name
P, M, & R SPECIALISTS OF TEXAS
Practice address
14405 Walters
Ste a
Houston, TX 77014
Phone
(832) 777-7581
Fax
(832) 532-9775
NPI assigned
Nov 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Authorized official

Name
Mr. Daniel Bodin
Title
Medical Liason
Phone
(832) 777-7581

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Occupational Health ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NX0100X Primary
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X
Physical Rehabilitation Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0019X

Addresses

Primary practice location

14405 Walters
Ste a
Houston, TX 77014

Mailing address

3303 Candleoak Dr
Spring, TX 77388-5210
Phone (832) 777-7581

Other identifiers 1

IdentifierTypeStateIssuer
32061969310OtherTXWORKERS COMP

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1801338322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 CANDLEOAK DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773885210",
            "telephone_number": "832-777-7581",
            "fax_number": "832-532-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14405 WALTERS",
            "address_2": "STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77014",
            "telephone_number": "832-777-7581",
            "fax_number": "832-532-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P, M, & R SPECIALISTS OF TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-15",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "BODIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MEDICAL LIASON",
        "authorized_official_telephone_number": "832-777-7581",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Occupational Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "32061969310",
            "state": "TX"
        }
    ],
    "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 Nov 16, 2016; 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.