MEDICARE: MIJE WOLFF & ASSOCIATES, INC.

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	171100000X	Acupuncturist	4624	TX
2	111N00000X	Chiropractor	5058	TX

General Provider Information

NPI Number	:	1306023627
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIJE WOLFF & ASSOCIATES, INC.

Provider Business Mailing Address
First Line	:	4622 MITTLESTEDT RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77069-2104
Country	:	US
Telephone Number	:	281-587-0334
Fax Number	:	281-587-0351

Provider Business Practice Location Address
First Line	:	4622 MITTLESTEDT RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77069-2104
Country	:	US
Telephone Number	:	281-587-0334
Fax Number	:	281-587-0351

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. MICHAEL JOHN WOLFF
Credential	:	D.C.
Telephone Number	:	281-587-0334

Provider Enumeration Date	:	01/29/2008
Last Update Date	:	01/29/2008

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