MEDICARE: TJC CARE INC

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	6201	TX

General Provider Information

NPI Number	:	1184821324
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TJC CARE INC

Provider Business Mailing Address
First Line	:	314 OAK AVE
Second Line	:
City	:	SULPHUR SPRINGS
State	:	TX
Zip	:	75482-2856
Country	:	US
Telephone Number	:	903-439-0853
Fax Number	:	903-885-6581

Provider Business Practice Location Address
First Line	:	314 OAK AVE
Second Line	:
City	:	SULPHUR SPRINGS
State	:	TX
Zip	:	75482-2856
Country	:	US
Telephone Number	:	903-439-0853
Fax Number	:	903-885-6581

Authorized Official
Title or Position	:	OWNER
Name	:	DR. TIMOTHY JAMES CARDILE
Credential	:	D.C.
Telephone Number	:	903-439-0854

Provider Enumeration Date	:	06/29/2007
Last Update Date	:	11/07/2012

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Directions to “TJC CARE INC ” Practice Location

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