MEDICARE: DR. CAREY FABACHER 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	7841	TX

General Provider Information

NPI Number	:	1043377476
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAREY FABACHER DC

Provider Business Mailing Address
First Line	:	8102 SPRING VALLEY ROAD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75240-7508
Country	:	US
Telephone Number	:	972-247-7246
Fax Number	:	972-247-8200

Provider Business Practice Location Address
First Line	:	8102 SPRING VALLEY ROAD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75240-7508
Country	:	US
Telephone Number	:	972-247-7246
Fax Number	:	972-247-8200

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

Provider Enumeration Date	:	01/03/2007
Last Update Date	:	09/29/2008

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Directions to “ DR. CAREY FABACHER DC” Practice Location

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