MEDICARE: DR. MARY BETH EASTWOOD 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	10218	TX

General Provider Information

NPI Number	:	1194751057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY BETH EASTWOOD DC

Provider Business Mailing Address
First Line	:	PO BOX 8872
Second Line	:
City	:	HORSESHOE BAY
State	:	TX
Zip	:	78657-8872
Country	:	US
Telephone Number	:	830-308-5559
Fax Number	:

Provider Business Practice Location Address
First Line	:	7407 W FM 2147
Second Line	:
City	:	HORSESHOE BAY
State	:	TX
Zip	:	78657-1000
Country	:	US
Telephone Number	:	830-308-5559
Fax Number	:	830-308-4467

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

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	11/09/2023

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