MEDICARE: DR. AUGUSTA C ALISA-ONWAS 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	9589	TX

General Provider Information

NPI Number	:	1760416093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AUGUSTA C ALISA-ONWAS D.C

Provider Business Mailing Address
First Line	:	6511 GRAND CANYON GATE DR
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77450-8732
Country	:	US
Telephone Number	:	281-829-2187
Fax Number	:	713-490-2759

Provider Business Practice Location Address
First Line	:	6671 SOUTHWEST FWY
Second Line	:	SUITE 490
City	:	HOUSTON
State	:	TX
Zip	:	77074-2212
Country	:	US
Telephone Number	:	713-988-4711
Fax Number	:	713-490-2759

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

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	07/09/2007

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