Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 8477 | TX |
NPI | 1083786164 |
---|---|
Provider Name | Mr. Chris Sanders |
First Address | Houston, TX 77056-6764 |
Second Address | Bellaire, TX 77401-2900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2006 |
Last Update Date | 31/08/2021 |