LEAGUE CITY FAMILY CHIROPRACTIC PC
Ambulatory Health at Gulf Fwy, League City, TX

License number
Texas 10342
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: DR. FE MARIE TERESE EVANGELISTA D.C.
Title: OWNER
Phone: (281) 557-3339
Address
Address
1100 Gulf Fwy S SUITE 122, League City, TX 77573
National Provider ID: 1417130097
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LEAGUE CITY FAMILY CHIROPRACTIC, PC

League City, TX

Status:
Inactive
Registration:
Aug 15, 2007
Addresses:
610 W Main St STE 102, League City, TX 77573 (Mailing)
618 W Main St, League City, TX 77573
State ID:
0800858158
Business type:
Domestic Professional Corporation
Directors:
Fe Marie Evangelista Director, President, inactive, 2851 Early Turn Dr, Webster, TX 77598,Mark A Evangelista Secretary, Director, Treasurer, inactive, 2851 Early Turn Dr, Webster, TX 77598,Maite Evangelista Director, inactive
TIN:
32033549422

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