MEDICARE: PINNACLE HEALTH CHIROPRACTIC

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	8047	TX

General Provider Information

NPI Number	:	1134355100
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PINNACLE HEALTH CHIROPRACTIC

Provider Business Mailing Address
First Line	:	1121 KINWEST PKWY
Second Line	:	SUITE 100
City	:	IRVING
State	:	TX
Zip	:	75063-3135
Country	:	US
Telephone Number	:	972-401-2345
Fax Number	:	214-522-9428

Provider Business Practice Location Address
First Line	:	1121 KINWEST PKWY
Second Line	:	SUITE 100
City	:	IRVING
State	:	TX
Zip	:	75063-3135
Country	:	US
Telephone Number	:	972-401-2345
Fax Number	:	214-522-9428

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RICHARD GLENN HIGGINBOTHAM
Credential	:	D.C.
Telephone Number	:	972-401-2345

Provider Enumeration Date	:	06/04/2009
Last Update Date	:	06/04/2009

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Directions to “PINNACLE HEALTH CHIROPRACTIC ” Practice Location

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