MEDICARE: HANKS CHIROPRACTIC CENTER PC

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	4451	TX

General Provider Information

NPI Number	:	1427272558
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANKS CHIROPRACTIC CENTER PC

Provider Business Mailing Address
First Line	:	11411 E NORTHWEST HWY
Second Line	:	SUITE 107
City	:	DALLAS
State	:	TX
Zip	:	75218-1428
Country	:	US
Telephone Number	:	214-343-2225
Fax Number	:	214-343-2655

Provider Business Practice Location Address
First Line	:	11411 E NORTHWEST HWY
Second Line	:	SUITE 107
City	:	DALLAS
State	:	TX
Zip	:	75218-1428
Country	:	US
Telephone Number	:	214-343-2225
Fax Number	:	214-343-2655

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RICKY L. HANKS
Credential	:	D.C.
Telephone Number	:	214-343-2225

Provider Enumeration Date	:	04/12/2007
Last Update Date	:	09/27/2011

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