Provider Demographics
NPI:1053722561
Name:MTL HEALTH & PERFORMANCE
Entity type:Organization
Organization Name:MTL HEALTH & PERFORMANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MINH
Authorized Official - Middle Name:THE
Authorized Official - Last Name:LUU
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-804-9096
Mailing Address - Street 1:20919 SUMMER TRACE LN
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-8470
Mailing Address - Country:US
Mailing Address - Phone:281-804-9096
Mailing Address - Fax:
Practice Address - Street 1:20919 SUMMER TRACE LN
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-8470
Practice Address - Country:US
Practice Address - Phone:281-804-9096
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-19
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9027111NR0400X, 111NS0005X, 111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty
No111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Multi-Specialty
No111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Multi-Specialty