MEDICARE: FARMERS BRANCH CHIROPRACTIC CENTER, P.C.

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	2565	TX

General Provider Information

NPI Number	:	1215088810
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FARMERS BRANCH CHIROPRACTIC CENTER, P.C.

Provider Business Mailing Address
First Line	:	2736 VALLEY VIEW LN
Second Line	:	SUITE 200
City	:	DALLAS
State	:	TX
Zip	:	75234-4925
Country	:	US
Telephone Number	:	972-241-2012
Fax Number	:	972-241-2149

Provider Business Practice Location Address
First Line	:	2736 VALLEY VIEW LN
Second Line	:	SUITE 200
City	:	DALLAS
State	:	TX
Zip	:	75234-4925
Country	:	US
Telephone Number	:	972-241-2012
Fax Number	:	972-241-2149

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RAYMOND EUGENE LIVERMAN JR.
Credential	:	D.C.
Telephone Number	:	972-241-2012

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	08/22/2020

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