MEDICARE: DR. SAMANTHA BIELAT DC

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	16732	TX

General Provider Information

NPI Number	:	1912865908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAMANTHA BIELAT DC

Provider Business Mailing Address
First Line	:	2410 WYCON DR STE 102
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76712-8990
Country	:	US
Telephone Number	:	254-624-4422
Fax Number	:

Provider Business Practice Location Address
First Line	:	2410 WYCON DR STE 102
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76712-8990
Country	:	US
Telephone Number	:	254-624-4422
Fax Number	:

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

Provider Enumeration Date	:	01/10/2026
Last Update Date	:	01/10/2026

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Directions to “ DR. SAMANTHA BIELAT DC” Practice Location

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