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NPI Code Detail

MEDICARE: DR. RODGER WADE HAMPTON DC

MEDICARE: DR. RODGER WADE HAMPTON 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
1111N00000XChiropractor6071TX

General Provider Information

NPI Number : 1013076074
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RODGER WADE HAMPTON DC
Provider Business Mailing Address
First Line : 9405 CROWLEY RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76134-5906
Country : US
Telephone Number : 817-293-5355
Fax Number :
Provider Business Practice Location Address
First Line : 9405 CROWLEY RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76134-5906
Country : US
Telephone Number : 817-293-5355
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2006
Last Update Date : 07/08/2007

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