MEDICARE: APPLE CHIROPRACTIC CLINIC, INC.

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	6770	TX

General Provider Information

NPI Number	:	1043423270
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APPLE CHIROPRACTIC CLINIC, INC.

Provider Business Mailing Address
First Line	:	1800 BERING DR
Second Line	:	SUITE 140
City	:	HOUSTON
State	:	TX
Zip	:	77057-3151
Country	:	US
Telephone Number	:	713-977-0044
Fax Number	:	713-977-0043

Provider Business Practice Location Address
First Line	:	1800 BERING DR
Second Line	:	SUITE 140
City	:	HOUSTON
State	:	TX
Zip	:	77057-3151
Country	:	US
Telephone Number	:	713-977-0044
Fax Number	:	713-977-0043

Authorized Official
Title or Position	:	CEO
Name	:	DR. ALICE GAYE SCHOETTLE
Credential	:	B.S., M.A., D.C.
Telephone Number	:	713-977-0044

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	08/22/2020

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