Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2578 | TX |
NPI | 1992918536 |
---|---|
Provider Name | Steve M. Elliott |
First Address | Pasadena, TX 77505-1602 |
Second Address | Pasadena, TX 77505-1602 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2007 |
Last Update Date | 08/07/2007 |