Provider Demographics
NPI:1265956783
Name:YOON CHIROPRACTIC CLINIC PLLC
Entity type:Organization
Organization Name:YOON CHIROPRACTIC CLINIC PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEE
Authorized Official - Middle Name:
Authorized Official - Last Name:YOON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-846-3782
Mailing Address - Street 1:9869 LONG POINT RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-4107
Mailing Address - Country:US
Mailing Address - Phone:281-846-3782
Mailing Address - Fax:713-984-8858
Practice Address - Street 1:9869 LONG POINT RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-4107
Practice Address - Country:US
Practice Address - Phone:281-846-3782
Practice Address - Fax:713-984-8858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11593111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty