MEDICARE: DR. NORRI J COLLIER 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	111N00000X	Chiropractor	DC4329	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DC4329	OTHER	TX	LICENSE NUMBER

General Provider Information

NPI Number	:	1295853935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NORRI J COLLIER D.C.

Provider Business Mailing Address
First Line	:	5433 WESTHEIMER RD STE 411
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-5322
Country	:	US
Telephone Number	:	713-623-6305
Fax Number	:	713-840-7909

Provider Business Practice Location Address
First Line	:	5433 WESTHEIMER RD STE 411
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-5322
Country	:	US
Telephone Number	:	713-623-6305
Fax Number	:	713-840-7909

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

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	07/08/2007

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