Organization
FECF, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE VAN WAGENEN DC (CHIROPRACTOR)
(518) 542-9371
Entity
Organization
Contact information
Practice address
15502 GALVESTON ROAD, #207, HOUSTON, TX 77598-7759
(281) 607-3043
Mailing address
100 W TEXAS AVE, 416, WEBSTER, TX 77598-3280
(518) 542-9371
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
12705
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780092338
—
TX
Enumeration date
08/21/2017
Last updated
08/21/2017
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