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NPI Code Detail

MEDICARE: NATURAL HEALTH CHIROPRACTIC SPORT & SPINE

MEDICARE: NATURAL HEALTH CHIROPRACTIC SPORT & SPINE
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
1111NS0005XSports Physician Chiropractor9203TX

General Provider Information

NPI Number : 1225338783
Entity Type Code : Organization
Provider Name (Legal Business Name) : NATURAL HEALTH CHIROPRACTIC SPORT & SPINE
Provider Business Mailing Address
First Line : 4634 CAMP BOWIE BLVD
Second Line :
City : FT WORTH
State : TX
Zip : 76107-3744
Country : US
Telephone Number : 817-735-3839
Fax Number : 817-735-3837
Provider Business Practice Location Address
First Line : 4634 CAMP BOWIE BLVD
Second Line :
City : FT WORTH
State : TX
Zip : 76107-3744
Country : US
Telephone Number : 817-735-3839
Fax Number : 817-735-3837
Authorized Official
Title or Position : PRESIDENT
Name : BRIAN RONALD SAUL
Credential : D.C.
Telephone Number : 817-735-3839
Provider Enumeration Date : 10/29/2010
Last Update Date : 10/29/2010

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Directions to “NATURAL HEALTH CHIROPRACTIC SPORT & SPINE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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