BAYSIDE CHIROPRACTIC, PLLC
Chiropractic at Fairmont Pkwy, Morgans Point, TX

License number
Texas 11178
Category
Chiropractic
Type
Chiropractor
Owner
Name: DR. SHANE D BOUCHER D.C.
Title: OWNER
Phone: (281) 842-7700
Address
Address
410 E Fairmont Pkwy STE C, Morgans Point, TX 77571
National Provider ID: 1447494984
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BAYSIDE CHIROPRACTIC, PLLC

410 E Fairmont Pkwy, La Porte, TX 77571

Industry:
Chiropractor's Office
Doing business as:
Bayside Chiropractic, Pllc<br>Bayside Chiropractic - Shane Boucher DC
Registration:
Apr 21, 2009
Phone:
(281) 842-7700 (Phone)
State ID:
0801113292
Business type:
Domestic Limited Liability Company (LLC)
MANAGER, Treasurer, Vice President, President:
Shane Boucher (MANAGER, Treasurer, Vice President, President), 410 E Fairmont Prkwy C, La Porte, TX 77571
TIN:
32039365047

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