Provider Demographics
NPI:1053596882
Name:FULSHEAR CHIROPRACTIC AND SPINAL CENTER
Entity type:Organization
Organization Name:FULSHEAR CHIROPRACTIC AND SPINAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:K
Authorized Official - Last Name:LAMBETH
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:281-497-5577
Mailing Address - Street 1:29810 FM 1093
Mailing Address - Street 2:SUITE E
Mailing Address - City:FULSHEAR
Mailing Address - State:TX
Mailing Address - Zip Code:77441-3923
Mailing Address - Country:US
Mailing Address - Phone:281-497-5577
Mailing Address - Fax:281-497-3338
Practice Address - Street 1:29810 FM 1093
Practice Address - Street 2:SUITE E
Practice Address - City:FULSHEAR
Practice Address - State:TX
Practice Address - Zip Code:77441-3923
Practice Address - Country:US
Practice Address - Phone:281-497-5577
Practice Address - Fax:281-497-3338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-28
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5860111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty