| Joe Clinton,lara Clinton | |
|
4654 Highway 6 N Ste 305, Houston, TX 77084-2879 | |
| (281) 855-2277 | |
| (281) 855-2292 |
| Full Name | Joe Clinton,lara Clinton |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4654 Highway 6 N Ste 305, 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 |
|---|---|---|---|
| 1952502288 | NPI | - | NPPES |
| 001741001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 6648 (Texas) | Secondary |
| 111N00000X | Chiropractor | 6341 (Texas) | Primary |
| Provider Name | Lara Ann M Clinton |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1265525554 PECOS PAC ID: 4587687926 Enrollment ID: I20060111000724 |
| Provider Name | Joe Clinton |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1932116274 PECOS PAC ID: 7618106873 Enrollment ID: I20140210001485 |
| Mailing Address | Practice Location Address |
|---|---|
| Joe Clinton,lara Clinton 4654 Highway 6 N Ste 305, Houston, TX 77084-2879 Ph: (281) 855-2277 | Joe Clinton,lara Clinton 4654 Highway 6 N Ste 305, Houston, TX 77084-2879 Ph: (281) 855-2277 |
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