FAMILY CHIROPRACTIC OF LEAGUE CITY
NPI 1417130097
Clinic/Center in League City, TX
- Organization
- Clinic/Center
- CLIA Number: 45D2116595
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-27-2026
About FAMILY CHIROPRACTIC OF LEAGUE CITY
This page provides the complete NPI Profile along with additional information for Family Chiropractic Of League City, a provider established in League City, Texas operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1417130097 assigned on December 2007. The practitioner's primary taxonomy code is 261Q00000X with license number 10342 (TX). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Family Chiropractic Of League City. The authorized official of this NPI record is Dr. Fe Marie Terese Evangelista D.c. (Owner)
- NPI
- 1417130097 Verify this NPI
- Provider Legal Name
- LEAGUE CITY FAMILY CHIROPRACTIC PC
- Other Organization Name
- FAMILY CHIROPRACTIC OF LEAGUE CITY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1100 GULF FWY S SUITE 122 LEAGUE CITY, TX 77573
- Location Phone
- (281) 557-3339
- Location Fax
- (832) 932-5223
- Mailing Address
- 1100 GULF FWY S SUITE 122 LEAGUE CITY, TX 77573
- Mailing Phone
- (281) 557-3339
- Mailing Fax
- (832) 932-5223
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-06-2007
- Last Update Date
- 04-10-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 10342
- License State
- TX
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D2116595
- Facility Type
- Physician Office
- Certificate Effective Date
- July 28, 2024
- Certificate Expiration Date
- July 27, 2026
- Laboratory Director
- HANAN HUSSEIN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Family Chiropractic Of League City in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
LEAGUE CITY, TX 77573
LEAGUE CITY, TX 77573
LEAGUE CITY, TX 77573
LEAGUE CITY, TX 77573
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417130097, enumerated as an "organization" on December 06, 2007.
The provider is located at 1100 GULF FWY S SUITE 122 LEAGUE CITY, TX 77573 and the phone number is (281) 557-3339.
Clinic/Center with taxonomy code 261Q00000X.
