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NPI Code Detail

MEDICARE: DR. JUSTIN PHILLIP PAELTZ DC

MEDICARE: DR. JUSTIN PHILLIP PAELTZ DC
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
1111N00000XChiropractor12413TX

General Provider Information

NPI Number : 1235562919
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUSTIN PHILLIP PAELTZ DC
Provider Business Mailing Address
First Line : 7500 BOULEVARD 26
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76180-8318
Country : US
Telephone Number : 817-259-1300
Fax Number : 817-284-8240
Provider Business Practice Location Address
First Line : 7500 BOULEVARD 26
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76180-8318
Country : US
Telephone Number : 817-259-1300
Fax Number : 817-284-8240
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2013
Last Update Date : 12/06/2018

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Directions to “ DR. JUSTIN PHILLIP PAELTZ DC” Practice Location

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