MEDICARE: NORTH WELLNESS & CHIRO CENTER

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	F0011610	TX

General Provider Information

NPI Number	:	1366808271
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH WELLNESS & CHIRO CENTER

Provider Business Mailing Address
First Line	:	4141 NORTH FWY
Second Line	:	SUITE 200
City	:	HOUSTON
State	:	TX
Zip	:	77022-4208
Country	:	US
Telephone Number	:	713-906-6746
Fax Number	:

Provider Business Practice Location Address
First Line	:	4141 NORTH FWY
Second Line	:	SUITE 200
City	:	HOUSTON
State	:	TX
Zip	:	77022-4208
Country	:	US
Telephone Number	:	713-906-6746
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JULIAN VENCE KIMBLE
Credential	:
Telephone Number	:	713-906-6746

Provider Enumeration Date	:	01/07/2016
Last Update Date	:	01/07/2016

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