Organization
ABACUS IME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA J GUTIERREZ (OWNER)
(281) 469-2225
Entity
Organization
Contact information
Practice address
1240 BLALOCK RD STE 190, HOUSTON, TX 77055-6451
(281) 469-2225
(888) 578-8800
Mailing address
24165 W INTERSTATE 10 STE 217-611, SAN ANTONIO, TX 78257-1449
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02939
TEXAS CHIROPRACTIC BOARD
TX
Enumeration date
05/17/2018
Last updated
05/17/2018
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