MEDICARE: ALTON CHIROPRACTIC PC

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	9782	TX

General Provider Information

NPI Number	:	1932431962
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTON CHIROPRACTIC PC

Provider Business Mailing Address
First Line	:	4807 SPICEWOOD SPRINGS RD
Second Line	:	BLDG 1 STE 1290
City	:	AUSTIN
State	:	TX
Zip	:	78759-8444
Country	:	US
Telephone Number	:	512-346-2225
Fax Number	:	512-372-8504

Provider Business Practice Location Address
First Line	:	4807 SPICEWOOD SPRINGS RD
Second Line	:	BLDG 1 STE 1290
City	:	AUSTIN
State	:	TX
Zip	:	78759-8444
Country	:	US
Telephone Number	:	512-346-2225
Fax Number	:	512-372-8504

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MICHAEL D ALTON II
Credential	:	D.C.
Telephone Number	:	512-346-2225

Provider Enumeration Date	:	02/01/2010
Last Update Date	:	02/25/2011

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