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Organization
OPTIMAL SPINE AND SPORTS MEDICINE PLLC
Active
Organization
OPTIMAL SPINE AND SPORTS MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH R HAYWOOD DC (CHIROPRACTOR/OWNER)
(830) 688-9651
Entity
Organization
Contact information
Practice address
6212 N MAIN ST STE C, HOUSTON, TX 77009-2496
(830) 688-9651
Mailing address
319 SIKES ST, HOUSTON, TX 77018-4528
(830) 688-9651
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
07/12/2023
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