MEDICARE: DR. ANDREW JAMES CURTIS 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	8890TX	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8P6082	OTHER	TX	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1114100294
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW JAMES CURTIS DC

Provider Business Mailing Address
First Line	:	PO BOX 5128
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75208-9128
Country	:	US
Telephone Number	:	214-941-6262
Fax Number	:	214-941-6224

Provider Business Practice Location Address
First Line	:	2301 S HAMPTON RD
Second Line	:	700
City	:	DALLAS
State	:	TX
Zip	:	75224-1650
Country	:	US
Telephone Number	:	214-941-6262
Fax Number	:	214-941-6224

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

Provider Enumeration Date	:	12/11/2007
Last Update Date	:	12/17/2008

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