MEDICARE: DR. MICHAEL DAN BEYER JR. 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	8122	TX

General Provider Information

NPI Number	:	1609868991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL DAN BEYER JR. D.C.

Provider Business Mailing Address
First Line	:	24141 HIGHWAY 59
Second Line	:	SUITE C
City	:	PORTER
State	:	TX
Zip	:	77365-6141
Country	:	US
Telephone Number	:	281-354-4000
Fax Number	:	281-354-8128

Provider Business Practice Location Address
First Line	:	24141 HIGHWAY 59
Second Line	:	SUITE C
City	:	PORTER
State	:	TX
Zip	:	77365-6141
Country	:	US
Telephone Number	:	281-354-4000
Fax Number	:	281-354-8128

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

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	07/08/2007

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Directions to “ DR. MICHAEL DAN BEYER JR. D.C.” Practice Location

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