MEDICARE: NMS CHIROPRACTIC

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	10165	TX

General Provider Information

NPI Number	:	1215124102
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NMS CHIROPRACTIC

Provider Business Mailing Address
First Line	:	5737 BELLAIRE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-5505
Country	:	US
Telephone Number	:	713-771-8895
Fax Number	:	713-771-7033

Provider Business Practice Location Address
First Line	:	5737 BELLAIRE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-5505
Country	:	US
Telephone Number	:	713-771-8895
Fax Number	:	713-771-7033

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DIEGO LEON
Credential	:	D.C.
Telephone Number	:	713-771-8895

Provider Enumeration Date	:	09/25/2007
Last Update Date	:	12/23/2008

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Directions to “NMS CHIROPRACTIC ” Practice Location

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