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TESTIMONIAL SPINE & FITNESS LLC NPI 1699147090


NPI Information

NPI: 1699147090
Provider Name: TESTIMONIAL SPINE & FITNESS, LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
6363 RICHMOND AVE STE 260
HOUSTON, TX
ZIP 77057
Phone: (832) 580-9743
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TESTIMONIAL SPINE & FITNESS, LLC is a chiropractor in Houston, TX. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. TESTIMONIAL SPINE & FITNESS, LLC NPI is 1699147090. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6363 RICHMOND AVE STE 260
HOUSTON, TX
ZIP 77057-950
Phone: (832) 580-9743
Fax: (832) 201-0797

The provider's authorized official is Anthony Julio Branker .
The authorized official title is President and has the following contact phone number (832) 580-9743.

The enumeration date for this NPI number is 10/24/2015 and was last updated on 4/8/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor13068TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100Y7Y9OTHERTEXASBLUE CROSS BLUE SHIELD OF TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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