MEDICARE: KATE MERLEN UECKERT

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
1	111N00000X	Chiropractor	13319	TX

General Provider Information

NPI Number	:	1063961340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATE MERLEN UECKERT

Provider Business Mailing Address
First Line	:	629 S CHARLES ST
Second Line	:
City	:	BELLVILLE
State	:	TX
Zip	:	77418-2801
Country	:	US
Telephone Number	:	979-472-0049
Fax Number	:

Provider Business Practice Location Address
First Line	:	1348 WALNUT ST
Second Line	:
City	:	COLUMBUS
State	:	TX
Zip	:	78934-2129
Country	:	US
Telephone Number	:	979-472-0049
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2016
Last Update Date	:	09/27/2016

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Directions to “ KATE MERLEN UECKERT ” Practice Location

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