MEDICARE: STRASSER DYNAMIC CHIROPRACTIC

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

General Provider Information

NPI Number	:	1336385624
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STRASSER DYNAMIC CHIROPRACTIC

Provider Business Mailing Address
First Line	:	1417 S CENTER ST
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76010-2865
Country	:	US
Telephone Number	:	817-861-5757
Fax Number	:	817-459-3247

Provider Business Practice Location Address
First Line	:	1417 S CENTER ST
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76010-2865
Country	:	US
Telephone Number	:	817-861-5757
Fax Number	:	817-459-3247

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. TRAVIS ANDREW STRASSER
Credential	:	D.C.
Telephone Number	:	817-861-5757

Provider Enumeration Date	:	12/17/2008
Last Update Date	:	12/17/2008

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