100 Chiro Livingood Louetta Pllc | |
10123 Louetta Rd Ste 200, Houston, TX 77070-2161 | |
(832) 843-6632 | |
Not Available |
Full Name | 100 Chiro Livingood Louetta Pllc |
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Type | Facility |
Speciality | Chiropractor |
Location | 10123 Louetta Rd Ste 200, Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1225783970 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Theodore Davidson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1114458171 PECOS PAC ID: 0840653937 Enrollment ID: I20230822002814 |
Provider Name | Mariam Mahmoud Mobarak |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1518722628 PECOS PAC ID: 3971945023 Enrollment ID: I20240521004289 |
Mailing Address | Practice Location Address |
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100 Chiro Livingood Louetta Pllc 10123 Louetta Rd Ste 200, Houston, TX 77070-2161 Ph: () - | 100 Chiro Livingood Louetta Pllc 10123 Louetta Rd Ste 200, Houston, TX 77070-2161 Ph: (832) 843-6632 |
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