Organization
COUNTRY PLACE CHIROPRACTIC HEALTH & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN SUSAN CULLINANE D.C. (PRESIDENT)
(713) 436-8346
Entity
Organization
Contact information
Practice address
1801 COUNTRY PLACE PKWY, 113, PEARLAND, TX 77584-5120
(713) 436-8346
(713) 436-8356
Mailing address
1801 COUNTRY PLACE PKWY, 113, PEARLAND, TX 77584-5120
(713) 436-8346
(713) 436-8356
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9793
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0076MU
BCBS GROUP NUMBER
TX
Enumeration date
03/26/2007
Last updated
08/22/2020
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