Organization
CREEKSIDE CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL TATE BURLESON DC (OWNER/ CEO)
(936) 582-0404
Entity
Organization
Contact information
Practice address
25420 KUYKENDAHL RD STE C100, TOMBALL, TX 77375-3410
(281) 251-9834
Mailing address
25420 KUYKENDAHL RD STE C100, TOMBALL, TX 77375-3410
(281) 251-9834
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
13208
TX
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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