MEDICARE: GARY J ERLER 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	6363	TX

General Provider Information

NPI Number	:	1164635850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GARY J ERLER DC

Provider Business Mailing Address
First Line	:	3304 SE LOOP 820
Second Line	:	SUITE A
City	:	FT WORTH
State	:	TX
Zip	:	76140-1113
Country	:	US
Telephone Number	:	817-984-7545
Fax Number	:	817-533-2654

Provider Business Practice Location Address
First Line	:	3304 SE LOOP 820
Second Line	:	SUITE A
City	:	FT WORTH
State	:	TX
Zip	:	76140-1113
Country	:	US
Telephone Number	:	817-984-7545
Fax Number	:	817-533-2654

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

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	03/03/2014

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