MEDICARE: CGC HEALTH SOLUTIONS 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	111N00000X	Chiropractor	10912	TX

General Provider Information

NPI Number	:	1366699688
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CGC HEALTH SOLUTIONS INC

Provider Business Mailing Address
First Line	:	332 N BROADWAY ST
Second Line	:
City	:	JOSHUA
State	:	TX
Zip	:	76058-3047
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	332 N BROADWAY ST
Second Line	:
City	:	JOSHUA
State	:	TX
Zip	:	76058-3047
Country	:	US
Telephone Number	:	817-975-9451
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CARLOS MUNOZ
Credential	:	D.C.
Telephone Number	:	817-975-9451

Provider Enumeration Date	:	08/19/2008
Last Update Date	:	08/19/2008

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Directions to “CGC HEALTH SOLUTIONS INC ” Practice Location

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