MEDICARE: DR. JESSE SCHNERINGER 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
1	111N00000X	Chiropractor	8177	TX

General Provider Information

NPI Number	:	1235210329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JESSE SCHNERINGER D.C.

Provider Business Mailing Address
First Line	:	403 HOSTETTER ROAD
Second Line	:
City	:	NEW WAVERLY
State	:	TX
Zip	:	77358-4070
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	403 HOSTETTER ROAD
Second Line	:
City	:	NEW WAVERLY
State	:	TX
Zip	:	77358-4070
Country	:	US
Telephone Number	:	713-203-6984
Fax Number	:

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

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	07/08/2007

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