MEDICARE: DR. PATRICK STOREY D.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	111NR0400X	Rehabilitation Chiropractor	12963	TX

General Provider Information

NPI Number	:	1285015180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICK STOREY D.C.

Provider Business Mailing Address
First Line	:	11411 E NORTHWEST HWY
Second Line	:	SUITE 107
City	:	DALLAS
State	:	TX
Zip	:	75218-1428
Country	:	US
Telephone Number	:	214-343-2225
Fax Number	:	214-343-2655

Provider Business Practice Location Address
First Line	:	11411 E NORTHWEST HWY
Second Line	:	SUITE 107
City	:	DALLAS
State	:	TX
Zip	:	75218-1428
Country	:	US
Telephone Number	:	214-343-2225
Fax Number	:	214-343-2655

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2015
Last Update Date	:	12/10/2015

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Directions to “ DR. PATRICK STOREY D.C.” Practice Location

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