MEDICARE: VALDEZ CHIROPRACTIC PA

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	9960	TX

General Provider Information

NPI Number	:	1841476090
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALDEZ CHIROPRACTIC PA

Provider Business Mailing Address
First Line	:	2523 MCKINNEY AVE STE F
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75201-7626
Country	:	US
Telephone Number	:	214-871-3332
Fax Number	:	214-871-3330

Provider Business Practice Location Address
First Line	:	2523 MCKINNEY AVE STE F
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75201-7626
Country	:	US
Telephone Number	:	214-871-3332
Fax Number	:	214-871-3330

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. BRYAN ANTHONY VALDEZ
Credential	:	D.C
Telephone Number	:	214-871-3332

Provider Enumeration Date	:	01/18/2008
Last Update Date	:	12/08/2008

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