MEDICARE: DR. JEFF HUNG DOAN D.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
1	111N00000X	Chiropractor	8130	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8130	OTHER	TX	LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073525390
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFF HUNG DOAN D.C.

Provider Business Mailing Address
First Line	:	2015 ANCHOR BAY CT
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-8179
Country	:	US
Telephone Number	:	713-436-6419
Fax Number	:

Provider Business Practice Location Address
First Line	:	2715 FANNIN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77002-9217
Country	:	US
Telephone Number	:	713-654-7770
Fax Number	:	713-654-7703

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

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	09/30/2008

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