Organization
EMERALD CHIROPRACTIC CENTER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PAUL HODGES JR. D.C. (PRESIDENT)
(281) 332-9631
Entity
Organization
Contact information
Practice address
2047 W MAIN ST, SUITE A8, LEAGUE CITY, TX 77573-3579
(281) 332-9631
(281) 332-8192
Mailing address
PO BOX 1688, LEAGUE CITY, TX 77574-1688
(281) 332-9631
(281) 332-8192
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
4141
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83V082 / OOL33G
BCBS
TX
Enumeration date
01/07/2008
Last updated
01/07/2008
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