MEDICARE: DR. JOSEPH LIISTRO III 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	11519	TX

General Provider Information

NPI Number	:	1417269010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH LIISTRO III D.C.

Provider Business Mailing Address
First Line	:	1205 WASHINGTON ST
Second Line	:
City	:	COMMERCE
State	:	TX
Zip	:	75428-2613
Country	:	US
Telephone Number	:	903-886-3100
Fax Number	:

Provider Business Practice Location Address
First Line	:	1205 WASHINGTON ST
Second Line	:
City	:	COMMERCE
State	:	TX
Zip	:	75428-2613
Country	:	US
Telephone Number	:	903-886-3100
Fax Number	:

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

Provider Enumeration Date	:	07/12/2010
Last Update Date	:	09/22/2014

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