MEDICARE: DR. DAVID LANGLEY KINGCAID 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	7018	TX

General Provider Information

NPI Number	:	1013972033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID LANGLEY KINGCAID DC

Provider Business Mailing Address
First Line	:	17313 EL CAMINO REAL
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-2718
Country	:	US
Telephone Number	:	281-486-7044
Fax Number	:	281-486-9370

Provider Business Practice Location Address
First Line	:	17313 EL CAMINO REAL
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-2718
Country	:	US
Telephone Number	:	281-486-7044
Fax Number	:	281-486-9370

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

Provider Enumeration Date	:	04/20/2006
Last Update Date	:	11/24/2010

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