MEDICARE: FUQUA HEALTH & REHAB

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	DC8156	TX

General Provider Information

NPI Number	:	1124162060
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FUQUA HEALTH & REHAB

Provider Business Mailing Address
First Line	:	11007A FUQUA ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77089-2510
Country	:	US
Telephone Number	:	713-943-7477
Fax Number	:	713-941-7518

Provider Business Practice Location Address
First Line	:	11007A FUQUA ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77089-2510
Country	:	US
Telephone Number	:	713-943-7477
Fax Number	:	713-941-7518

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOHN T. MAI
Credential	:	D.C.
Telephone Number	:	713-943-7477

Provider Enumeration Date	:	02/16/2007
Last Update Date	:	05/30/2008

Similar Medicare Providers

1861663114 — FUQUA HEALTH & REHAB
Practice Location Address:

11007A FUQUA ST
HOUSTON, TX
77089-2510

Practice Phone: 713-943-7477
Practice Fax:

1437302981 — LONG D TRAN PH.D., D.D.S.
Practice Location Address:

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1174077051 — AMO HEALTH AND THERAPY, PLLC
Practice Location Address:

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77089-2510

Practice Phone: 713-910-0600
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1164048526 — CLINICA SAN LUCAS FUQUA
Practice Location Address:

11019 FUQUA ST
HOUSTON, TX
77089-2510

Practice Phone: 281-888-2804
Practice Fax: 281-888-2926

1104577063 — DRN MEDICAL GOUP, PA
Practice Location Address:

11043 FUQUA ST STE C
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77089-2510

Practice Phone: 346-418-6014
Practice Fax:

1942040357 — J & L CARE AND SUPPLIES LLC
Practice Location Address:

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77089-2510

Practice Phone: 346-313-6648
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Directions to “FUQUA HEALTH & REHAB ” Practice Location

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