Provider Demographics
NPI:1437334182
Name:PACE CHIROPRACTIC & PHYSICAL THERAPY INC
Entity type:Organization
Organization Name:PACE CHIROPRACTIC & PHYSICAL THERAPY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:PACE
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT, DC
Authorized Official - Phone:713-662-9900
Mailing Address - Street 1:6731 STELLA LINK RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-4342
Mailing Address - Country:US
Mailing Address - Phone:713-662-9900
Mailing Address - Fax:713-662-9919
Practice Address - Street 1:6731 STELLA LINK RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-4342
Practice Address - Country:US
Practice Address - Phone:713-662-9900
Practice Address - Fax:713-662-9919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-31
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0008KDOtherBCBS
TX181900501Medicaid
TX861610OtherBCBS CHIROPRACTIC
TX861610OtherBCBS CHIROPRACTIC
TXR59471Medicare UPIN
TX0008KDOtherBCBS