Individual provider · Type 1 NPI
Susanna Myrim Park, DC
Chiropractor · Houston, TX
NPI number
1063759165
Active
Practice location
9601 Katy Fwy 430
Houston, TX 77024-1356
Fax (713) 574-2798
Mailing address
9200 Westheimer Rd, Unit 502
Houston, TX 77063-3539
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 12198 (TX) |
Chiropractor: 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.
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About NPI 1063759165
Susanna Myrim Park, DC's National Provider Identifier is 1063759165, issued on Jan 9, 2013. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Houston, TX. The record was last updated on Oct 27, 2015.