MEDICARE: DR. MARION JOSEPH DANNA D.C.

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	2709	TX

General Provider Information

NPI Number	:	1073637088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARION JOSEPH DANNA D.C.

Provider Business Mailing Address
First Line	:	6065 HILLCROFT ST
Second Line	:	508
City	:	HOUSTON
State	:	TX
Zip	:	77081-1087
Country	:	US
Telephone Number	:	713-782-0082
Fax Number	:	713-975-7412

Provider Business Practice Location Address
First Line	:	6065 HILLCROFT ST
Second Line	:	508
City	:	HOUSTON
State	:	TX
Zip	:	77081-1087
Country	:	US
Telephone Number	:	713-782-0082
Fax Number	:	713-975-7412

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

Provider Enumeration Date	:	03/16/2007
Last Update Date	:	07/08/2007

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