Organization
CY-FAIR CHIROPRACTIC ASSOCIATES,PC
Active
Other names
A.KENT RICE DC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNY LOUISE BOLT (INSURANCE MGR)
(281) 955-6582
Entity
Organization
Contact information
Practice address
11514 FALLBROOK, HOUSTON, TX 77065
(281) 955-6582
(281) 955-8188
Mailing address
11514 FALLBROOK DR, HOUSTON, TX 77065-4239
(281) 955-6582
(281) 955-8188
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2498
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0055MS
BCBS GROUP
TN
01
—
1790857852
INDIVIDUAL NPI
TX
01
—
8S5120
BCBS INDIV PROV #
TN
01
—
DC2498
DC LICENSE
TX
Enumeration date
04/19/2007
Last updated
04/20/2008
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