NPI 1760643233 · live from the CMS NPI Registry
A.G. Braddick, D.C., P.C.
Chiropractor in Humble, TX. National Provider Identifier 1760643233, active.
NPI record
| NPI | 1760643233 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 1305 1st St E, Humble, TX 77338 |
| Practice phone | 281-446-1041 |
| Mailing address | 1305 1st St E Ste A, Humble, TX 77338 |
| Enumerated | June 18, 2008 |
| Last updated | October 1, 2009 |
| Authorized official | Anthony Braddick, President |
| Other names | New Life Chiropractic Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 2170 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.