MEDICARE: DR. SCOTT ADAM BALIN 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	7828	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	609222	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1164450490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT ADAM BALIN D.C.

Provider Business Mailing Address
First Line	:	1432 FM 1463 RD
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-5478
Country	:	US
Telephone Number	:	281-395-2225
Fax Number	:	281-395-2211

Provider Business Practice Location Address
First Line	:	1432 FM 1463 RD
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-5478
Country	:	US
Telephone Number	:	281-395-2225
Fax Number	:	281-395-2211

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

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	11/06/2007

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Directions to “ DR. SCOTT ADAM BALIN D.C.” Practice Location

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