MEDICARE: DR. JAMES MARVIN FILLA 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	8444	TX

General Provider Information

NPI Number	:	1821076621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES MARVIN FILLA D.C.

Provider Business Mailing Address
First Line	:	PO BOX 647
Second Line	:
City	:	ROBSTOWN
State	:	TX
Zip	:	78380-0647
Country	:	US
Telephone Number	:	361-387-1716
Fax Number	:	361-387-2599

Provider Business Practice Location Address
First Line	:	800 E MAIN AVE
Second Line	:
City	:	ROBSTOWN
State	:	TX
Zip	:	78380-3135
Country	:	US
Telephone Number	:	361-387-1716
Fax Number	:	361-387-2599

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

Provider Enumeration Date	:	01/03/2006
Last Update Date	:	03/08/2011

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