MEDICARE: CHIROPRACTIC PLUS PC

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

General Provider Information

NPI Number	:	1235203340
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHIROPRACTIC PLUS PC

Provider Business Mailing Address
First Line	:	4500 D HIGHWAY 6 NORTH
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-3402
Country	:	US
Telephone Number	:	281-345-8800
Fax Number	:	281-345-8839

Provider Business Practice Location Address
First Line	:	4500 D HIGHWAY 6 NORTH
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-3402
Country	:	US
Telephone Number	:	281-345-8800
Fax Number	:	281-345-8839

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CHARLES PHILLIP BARNWELL
Credential	:
Telephone Number	:	281-345-8800

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	06/24/2008

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