Individual
AMBUR PERRODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 BISSONNET ST STE 200, HOUSTON, TX 77005-2100
(800) 404-6050
(866) 313-3397
Mailing address
911 CENTRAL PKWY N STE 300, SAN ANTONIO, TX 78232-5053
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
13644
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13644
TEXAS BOARD OF CHIROPRACTIC EXAMINERS
TX
Enumeration date
11/13/2017
Last updated
11/13/2017
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