Organization
HEALTHSOURCE OF KATY WEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE SIGG DC (OWNER)
(832) 517-0911
Entity
Organization
Contact information
Practice address
1417 FM 1463 RD STE 140, KATY, TX 77494-5456
(832) 517-0911
Mailing address
1417 FM 1463 RD STE 140, KATY, TX 77494-5456
(832) 517-0911
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11987
STATE LICENSE
TX
Enumeration date
05/14/2020
Last updated
06/12/2020
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