Organization Active NPI

Pecan Mill Chiropractic Clinic

  • Clinic/Center
  • Houston, TX
National Provider Identifier
1871772582
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PECAN MILL CHIROPRACTIC CLINIC
Practice address
724 W 19TH St
Houston, TX 77008-3500
Phone
(713) 864-9494
Fax
(713) 864-9499
NPI assigned
Oct 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Mr. Edwin Caballero
Title
Manager
Phone
(713) 864-9494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X TX Primary

Addresses

Primary practice location

724 W 19TH St
Houston, TX 77008-3500

Mailing address

724 W 19TH St
Houston, TX 77008-3500
Phone (713) 864-9494

National Provider Directory

National Provider Directory

Locations

724 W 19th St
Houston, TX 77008
Phone (713) 864-9494

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1871772582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 W 19TH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770083500",
            "telephone_number": "713-864-9494",
            "fax_number": "713-864-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 W 19TH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770083500",
            "telephone_number": "713-864-9494",
            "fax_number": "713-864-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PECAN MILL CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "CABALLERO",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-864-9494",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 30, 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.