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NPI Code Detail

MEDICARE: RUSSELL SCOTT HOUGHTON D.C.

MEDICARE: RUSSELL SCOTT HOUGHTON 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
1111N00000XChiropractor6869TX

General Provider Information

NPI Number : 1194767053
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUSSELL SCOTT HOUGHTON D.C.
Provider Business Mailing Address
First Line : PO BOX 1566
Second Line :
City : BURLESON
State : TX
Zip : 76097-1566
Country : US
Telephone Number : 817-831-3388
Fax Number : 817-831-1541
Provider Business Practice Location Address
First Line : 1301 N BEACH ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76111-6613
Country : US
Telephone Number : 817-831-3388
Fax Number : 817-831-1541
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2006
Last Update Date : 07/08/2007

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Directions to “ RUSSELL SCOTT HOUGHTON D.C.” Practice Location

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