Organization
PROSPINE CHIROPRACTIC
Active
Other names
ProSpine Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL B. MOORE DC (OWNER)
(720) 985-5372
Entity
Organization
Contact information
Practice address
804 S HOOD ST, ALVIN, TX 77511-3459
(713) 300-1842
(720) 302-2522
Mailing address
804 S HOOD ST, ALVIN, TX 77511-3459
(713) 300-1842
(720) 302-2522
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
5595
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073706453
NPI
CO
01
—
1457421877
NPI
CO
Enumeration date
08/20/2007
Last updated
04/28/2023
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