Healthcare Provider Details

I. General information

NPI: 1114944196
Provider Name (Legal Business Name): TWIN CITY HEALT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2310 N TRUMAN BLVD
CRYSTAL CITY MO
63019-1037
US

IV. Provider business mailing address

2310 N TRUMAN BLVD
CRYSTAL CITY MO
63019-1037
US

V. Phone/Fax

Practice location:
  • Phone: 636-937-2777
  • Fax: 314-843-9151
Mailing address:
  • Phone: 636-937-2777
  • Fax: 314-843-9151

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MARK EDWARD SCHOPP SR.
Title or Position: OWNER
Credential: D.C.
Phone: 636-937-2777