MEDICARE: DR. WENDY DOWNEN JONES 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	10280	TX

General Provider Information

NPI Number	:	1134153570
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WENDY DOWNEN JONES D.C.

Provider Business Mailing Address
First Line	:	12100 METRIC BLVD APT 812
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78758-8644
Country	:	US
Telephone Number	:	512-934-0848
Fax Number	:

Provider Business Practice Location Address
First Line	:	3007 DAWN DR
Second Line	:	STE 101
City	:	GEORGETOWN
State	:	TX
Zip	:	78628-2864
Country	:	US
Telephone Number	:	512-863-7000
Fax Number	:	512-863-0066

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

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	07/08/2007

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