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NPI Code Detail

MEDICARE: JOHN MADDEN

MEDICARE: JOHN MADDEN
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
1111N00000XChiropractor10046TX

General Provider Information

NPI Number : 1750506242
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN MADDEN
Provider Business Mailing Address
First Line : 1201 S I H 35 STE 103
Second Line :
City : ROUND ROCK
State : TX
Zip : 78664-6646
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1201 S I H 35 STE 103
Second Line :
City : ROUND ROCK
State : TX
Zip : 78664-6646
Country : US
Telephone Number : 512-255-0401
Fax Number : 512-255-0441
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2007
Last Update Date : 07/08/2007

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Directions to “ JOHN MADDEN ” Practice Location

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