SANDSTONE CHIROPRATIC, P.A. - NPI 1154585636 - Chiropractor in Montgomery, TX

Q: What is the provider's specialty?

The provider's specialty is Chiropractor with taxonomy code 111N00000X.

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About Sandstone Chiropratic, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDSTONE CHIROPRATIC, P.A. (NPI 1154585636) is a healthcare organization registered as a chiropractor in Montgomery, Texas and active in the NPI registry since July 2008. The organization lists Tony W Deramus, President, as its authorized official.

NPPES Registry Identity

NPI1154585636

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameSANDSTONE CHIROPRATIC, P.A.

Location Address123 BLUE HERON DR STE 104Montgomery, TX 77316-3192

Mailing Address123 Blue Heron Dr Ste 104Montgomery, TX 77316-3192 · (936) 582-0404 · Fax (936) 582-0410

Phone(936) 582-0404

Fax(936) 582-0410

Organization SubpartNo

Authorized OfficialTony W DeramusPresident · (936) 582-0404

Enumeration DateJuly 15, 2008

✔ NPI 1154585636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in TX · 8344

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

123 BLUE HERON DR STE 104, Montgomery, TX 77316

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Other Identifiers 2

Medicare PIN609357TX

Medicare UPINU79466TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP