MEDICARE: MQN 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	7874	TX

General Provider Information

NPI Number	:	1093997272
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MQN INC

Provider Business Mailing Address
First Line	:	2101 CRAWFORD
Second Line	:	SUITE 200
City	:	HOUSTON
State	:	TX
Zip	:	77002-8941
Country	:	US
Telephone Number	:	713-526-4711
Fax Number	:

Provider Business Practice Location Address
First Line	:	2101 CRAWFORD
Second Line	:	SUITE 200
City	:	HOUSTON
State	:	TX
Zip	:	77002-8941
Country	:	US
Telephone Number	:	713-526-4711
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR OF CHIROPRACTIC
Name	:	MANDY Q NGO
Credential	:	D.C.
Telephone Number	:	713-526-4711

Provider Enumeration Date	:	11/29/2007
Last Update Date	:	11/29/2007

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Directions to “MQN INC ” Practice Location

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