MEDICARE: MARK ALAN RITCHIE 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	111NR0400X	Rehabilitation Chiropractor	5998	TX

General Provider Information

NPI Number	:	1881889236
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK ALAN RITCHIE D.C.

Provider Business Mailing Address
First Line	:	PO BOX 1729
Second Line	:
City	:	COLLEYVILLE
State	:	TX
Zip	:	76034-1729
Country	:	US
Telephone Number	:	817-821-0137
Fax Number	:	817-479-9720

Provider Business Practice Location Address
First Line	:	5583 DAVIS BLVD
Second Line	:	SUITE 300
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-6495
Country	:	US
Telephone Number	:	817-821-0137
Fax Number	:	817-479-9720

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

Provider Enumeration Date	:	09/10/2007
Last Update Date	:	09/16/2016

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