Basic Information
| Provider Information | |||||||||
| NPI: | 1093769200 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | BRANDO CHIROPRACTIC ASSOC. CLININC, P.A. | ||||||||
| LastName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 2914 N MAIN ST | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770095630 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7132272222 | ||||||||
| FaxNumber: | 7132277359 | ||||||||
| Practice Location | |||||||||
| Address1: | 2914 N MAIN ST | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770095630 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7132272222 | ||||||||
| FaxNumber: | 7132277359 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/20/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | HALSEY | ||||||||
| AuthorizedOfficialFirstName: | TOY | ||||||||
| AuthorizedOfficialMiddleName: | BRANDO | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER/CHIROPRACTOR | ||||||||
| AuthorizedOfficialTelephone: | 7132272222 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | D.C. | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 111N00000X | 2982 | TX | Y | 193400000X SINGLE SPECIALTY GROUP | Chiropractic Providers | Chiropractor |
No ID Information.