MEDICARE: WORKWELL OCCUPATIONAL TESTING

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	7106	TX

General Provider Information

NPI Number	:	1225273022
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WORKWELL OCCUPATIONAL TESTING

Provider Business Mailing Address
First Line	:	4615 NORTH FREEWAY
Second Line	:	SUITE #310
City	:	HOUSTON
State	:	TX
Zip	:	77022-2919
Country	:	US
Telephone Number	:	713-697-9315
Fax Number	:	713-697-9386

Provider Business Practice Location Address
First Line	:	4615 NORTH FWY
Second Line	:	SUITE 3310
City	:	HOUSTON
State	:	TX
Zip	:	77022-2917
Country	:	US
Telephone Number	:	713-697-9315
Fax Number	:	713-697-9386

Authorized Official
Title or Position	:	OWNER
Name	:	PRISCILLA ALANIZ MCGOWN
Credential	:	DC
Telephone Number	:	713-697-9315

Provider Enumeration Date	:	12/08/2008
Last Update Date	:	12/08/2008

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Directions to “WORKWELL OCCUPATIONAL TESTING ” Practice Location

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