Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 8003 | TX |
N | 111NI0013X | Independent Medical Examiner | 8003 | TX |
N | 111NR0400X | Rehabilitation Chiropractor | 8003 | TX |
NPI | 1306049697 |
---|---|
Provider Name | Dr. Grant Benjamin Pector |
First Address | Houston, TX 77075-5052 |
Second Address | Houston, TX 77089-6034 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2007 |
Last Update Date | 08/07/2007 |