MEDICARE: THOMAS M HALLISEY 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	4585	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346265618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS M HALLISEY D.C.

Provider Business Mailing Address
First Line	:	1140 WESTMONT DR
Second Line	:	STE 547
City	:	HOUSTON
State	:	TX
Zip	:	77015-4363
Country	:	US
Telephone Number	:	713-455-7074
Fax Number	:	713-455-5777

Provider Business Practice Location Address
First Line	:	1140 WESTMONT DR
Second Line	:	547
City	:	HOUSTON
State	:	TX
Zip	:	77015-4363
Country	:	US
Telephone Number	:	713-455-7074
Fax Number	:	713-455-5777

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

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	03/17/2023

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