| Greens Bayou Chiropractic Clinic Pc | |
|
12655 Woodforest Blvd Ste 200, Houston, TX 77015-3574 | |
| (713) 451-1400 | |
| (713) 451-1411 |
| Full Name | Greens Bayou Chiropractic Clinic Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Orthopedic |
| Location | 12655 Woodforest Blvd Ste 200, Houston, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417166992 | NPI | - | NPPES |
| 8K0780 | Other | TX | BLUE CROSS |
| 350017778 | Other | TX | RR MEDICARE |
| 87W330 | Other | TX | PROVIDER NUMBER |
| 431092 | Other | TX | ACN UNITED |
| 4361054 | Other | TX | AETNA |
| 046155001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NX0800X | Chiropractor - Orthopedic | 2889 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Greens Bayou Chiropractic Clinic Pc 12655 Woodforest Blvd Ste 200, Houston, TX 77015-3574 Ph: (713) 451-1400 | Greens Bayou Chiropractic Clinic Pc 12655 Woodforest Blvd Ste 200, Houston, TX 77015-3574 Ph: (713) 451-1400 |
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