MEDICARE: DR. GEORGE GLENN JUNKIN 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	DC2593	TX
2	111NN1001X	Nutrition Chiropractor	DC2593	TX

General Provider Information

NPI Number	:	1689673170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGE GLENN JUNKIN D.C.

Provider Business Mailing Address
First Line	:	11500 NORTHWEST FWY STE 201
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77092-6524
Country	:	US
Telephone Number	:	713-686-0828
Fax Number	:	713-686-4151

Provider Business Practice Location Address
First Line	:	11500 NORTHWEST FWY STE 201
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77092-6524
Country	:	US
Telephone Number	:	713-686-0828
Fax Number	:	713-686-4151

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

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	11/03/2014

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