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NPI Code Detail

MEDICARE: CAN HO ENTERPRISE

MEDICARE: CAN HO ENTERPRISE
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
1111N00000XChiropractorDC8300TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18B8322OTHERTXBCBS

General Provider Information

NPI Number : 1205023793
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAN HO ENTERPRISE
Provider Business Mailing Address
First Line : 613 NORTH FWY
Second Line : SUITE 116
City : FORT WORTH
State : TX
Zip : 76102-1726
Country : US
Telephone Number : 817-870-2005
Fax Number : 817-870-3667
Provider Business Practice Location Address
First Line : 613 NORTH FWY
Second Line : SUITE 116
City : FORT WORTH
State : TX
Zip : 76102-1726
Country : US
Telephone Number : 817-870-2005
Fax Number : 817-870-3667
Authorized Official
Title or Position : PROPRIETOR
Name : CAN N. HO
Credential : D.C.
Telephone Number : 817-870-2005
Provider Enumeration Date : 09/27/2007
Last Update Date : 09/27/2007

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Directions to “CAN HO ENTERPRISE ” Practice Location

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