MEDICARE: TWIN CITY HEALT SERVICES

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	261QP3300X	Pain Clinic/Center

General Provider Information

NPI Number	:	1114944196
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TWIN CITY HEALT SERVICES

Provider Business Mailing Address
First Line	:	2310 N TRUMAN BLVD
Second Line	:
City	:	CRYSTAL CITY
State	:	MO
Zip	:	63019-1037
Country	:	US
Telephone Number	:	636-937-2777
Fax Number	:	314-843-9151

Provider Business Practice Location Address
First Line	:	2310 N TRUMAN BLVD
Second Line	:
City	:	CRYSTAL CITY
State	:	MO
Zip	:	63019-1037
Country	:	US
Telephone Number	:	636-937-2777
Fax Number	:	314-843-9151

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MARK EDWARD SCHOPP SR.
Credential	:	D.C.
Telephone Number	:	636-937-2777

Provider Enumeration Date	:	07/16/2006
Last Update Date	:	08/22/2020

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Directions to “TWIN CITY HEALT SERVICES ” Practice Location

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