Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 10689 | TX |
N | 111NS0005X | Chiropractic Sports Physician | 10689 | TX |
NPI | 1275965204 |
---|---|
Provider Name | Dr. Frank Contreras |
First Address | Houston, TX 77027-6817 |
Second Address | Houston, TX 77027-6817 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2013 |
Last Update Date | 01/08/2013 |