Organization
DYNAMIC SPINE AND PERFORMANCE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN TYLER FORD DC (OWNER)
(281) 770-3613
Entity
Organization
Contact information
Practice address
11511 KATY FWY, SUITE 418, HOUSTON, TX 77079-1903
(713) 955-7972
(713) 588-8445
Mailing address
11511 KATY FWY, SUITE 418, HOUSTON, TX 77079-1903
(713) 955-7972
(713) 588-8445
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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