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NPI Code Detail

MEDICARE: 2310 L.L.C.

MEDICARE: 2310 L.L.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor7174TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11144305525OTHERTXNPI
21174608558OTHERTXNPI

General Provider Information

NPI Number : 1043336464
Entity Type Code : Organization
Provider Name (Legal Business Name) : 2310 L.L.C.
Provider Business Mailing Address
First Line : 2310 FM 1960 RD W
Second Line :
City : HOUSTON
State : TX
Zip : 77068-3702
Country : US
Telephone Number : 281-444-9214
Fax Number :
Provider Business Practice Location Address
First Line : 2310 FM 1960 RD W
Second Line :
City : HOUSTON
State : TX
Zip : 77068-3702
Country : US
Telephone Number : 281-444-9214
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. CHAD JAY OISTAD
Credential : D.C.
Telephone Number : 281-440-8899
Provider Enumeration Date : 03/21/2007
Last Update Date : 08/22/2020

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