MEDICARE: AMW MEDICAL SERVICES

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	111NX0100X	Occupational Health Chiropractor		TX

General Provider Information

NPI Number	:	1245699743
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMW MEDICAL SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 1513
Second Line	:
City	:	DEER PARK
State	:	TX
Zip	:	77536-1513
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10810 EASTEX FWY
Second Line	:	SUITE 150
City	:	HOUSTON
State	:	TX
Zip	:	77093-0002
Country	:	US
Telephone Number	:	832-230-4206
Fax Number	:	832-230-4507

Authorized Official
Title or Position	:	OWNER
Name	:	MR. BRYAN WOODSON
Credential	:
Telephone Number	:	832-230-4206

Provider Enumeration Date	:	02/12/2016
Last Update Date	:	02/12/2016

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