MEDICARE: ELITE PERFORMANCE CHIROPRACTIC & WELLNESS PLLC

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	12279	TX

General Provider Information

NPI Number	:	1295144939
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELITE PERFORMANCE CHIROPRACTIC & WELLNESS PLLC

Provider Business Mailing Address
First Line	:	2901 WILCREST DR
Second Line	:	SUITE 140
City	:	HOUSTON
State	:	TX
Zip	:	77042-3399
Country	:	US
Telephone Number	:	832-925-6004
Fax Number	:	832-649-3737

Provider Business Practice Location Address
First Line	:	2901 WILCREST DR
Second Line	:	SUITE 140
City	:	HOUSTON
State	:	TX
Zip	:	77042-3399
Country	:	US
Telephone Number	:	832-925-6004
Fax Number	:	832-649-3737

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. BILLY CHEONG
Credential	:	D.C.
Telephone Number	:	832-925-6004

Provider Enumeration Date	:	08/06/2014
Last Update Date	:	07/21/2016

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