MEDICARE: DR. RICHARD G. CHATFIELD DC

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	DC4326	TX

General Provider Information

NPI Number	:	1083616379
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD G. CHATFIELD DC

Provider Business Mailing Address
First Line	:	2803 CENTRAL DR
Second Line	:
City	:	BEDFORD
State	:	TX
Zip	:	76021-4812
Country	:	US
Telephone Number	:	817-283-6100
Fax Number	:	817-283-9536

Provider Business Practice Location Address
First Line	:	2803 CENTRAL DR
Second Line	:
City	:	BEDFORD
State	:	TX
Zip	:	76021-4812
Country	:	US
Telephone Number	:	817-283-6100
Fax Number	:	817-283-9536

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

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	07/08/2007

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