MEDICARE: DR. BRIAN THAO-HOUANE 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	11463	TX

General Provider Information

NPI Number	:	1083933683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN THAO-HOUANE D.C.

Provider Business Mailing Address
First Line	:	1820 CALUMET ST APT 2
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-7226
Country	:	US
Telephone Number	:	713-855-3385
Fax Number	:	713-855-3385

Provider Business Practice Location Address
First Line	:	1820 CALUMET ST APT 2
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-7226
Country	:	US
Telephone Number	:	713-855-3385
Fax Number	:	713-855-3385

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

Provider Enumeration Date	:	05/21/2010
Last Update Date	:	09/23/2014

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