Individual
DR. JENNIFER LYNN HENRICHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
3223 BROADWAY ST, PEARLAND, TX 77581-4501
(281) 743-7199
Mailing address
2309 HALBERT DR, PEARLAND, TX 77581-3829
(281) 743-7199
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
10013
TX
111NR0400X
Rehabilitation Chiropractor
Primary
10013
TX
111NS0005X
Sports Physician Chiropractor
10013
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11529398
CAQH ID
TX
01
—
8607166
CIGNA
TX
01
—
9409588
PHCS
TX
Enumeration date
10/25/2006
Last updated
07/12/2007
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