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NPI Code Detail

MEDICARE: DR. JODI MARIE ALTMAN D.C.

MEDICARE: DR. JODI MARIE ALTMAN 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
1111NN1001XNutrition Chiropractor9438TX
2111N00000XChiropractor9438TX

General Provider Information

NPI Number : 1467530444
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JODI MARIE ALTMAN D.C.
Provider Business Mailing Address
First Line : 10901 KATY FWY
Second Line :
City : HOUSTON
State : TX
Zip : 77079-2203
Country : US
Telephone Number : 713-461-9355
Fax Number : 713-467-9499
Provider Business Practice Location Address
First Line : 10901 KATY FWY
Second Line :
City : HOUSTON
State : TX
Zip : 77079-2203
Country : US
Telephone Number : 713-467-9355
Fax Number : 281-550-1587
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 06/24/2019

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