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NPI Code Detail

MEDICARE: JON SCHWEITZER D.C

MEDICARE: JON SCHWEITZER 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
1111N00000XChiropractor6911TX
2111NR0400XRehabilitation Chiropractor6911TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10074JSOTHERTXBCBS

General Provider Information

NPI Number : 1639230261
Entity Type Code : Individual
Provider Name (Legal Business Name) : JON SCHWEITZER D.C
Provider Business Mailing Address
First Line : 8208 BEDFORD EULESS RD.
Second Line :
City : N. RICHLAND HILLS
State : TX
Zip : 76180-7214
Country : US
Telephone Number : 817-498-7400
Fax Number : 817-503-9967
Provider Business Practice Location Address
First Line : 8208 BEDFORD EULESS RD
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76180-7214
Country : US
Telephone Number : 817-498-7400
Fax Number : 817-503-9967
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2006
Last Update Date : 07/03/2008

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