Provider Demographics
NPI:1871219147
Name:BRENAN, WILLIAM CRAIG (DC)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:CRAIG
Last Name:BRENAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1251 BETHLEHEM ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77018-1917
Mailing Address - Country:US
Mailing Address - Phone:713-498-1543
Mailing Address - Fax:
Practice Address - Street 1:920 PINE MARKET AVE.
Practice Address - Street 2:SUITE 350
Practice Address - City:HOUSTON,
Practice Address - State:TX
Practice Address - Zip Code:77018-7701
Practice Address - Country:US
Practice Address - Phone:713-498-1543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-18
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7971111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor