MEDICARE: STEVEN J. TUTT, DC, 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	4710	TX

General Provider Information

NPI Number	:	1245428267
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEVEN J. TUTT, DC, PC

Provider Business Mailing Address
First Line	:	PO BOX 191728
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75219-8505
Country	:	US
Telephone Number	:	214-528-1900
Fax Number	:	214-528-1917

Provider Business Practice Location Address
First Line	:	4245 CEDAR SPRINGS RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75219-2691
Country	:	US
Telephone Number	:	214-528-1900
Fax Number	:	214-528-1917

Authorized Official
Title or Position	:	PROPRIETOR
Name	:	STEVEN J. TUTT
Credential	:	D.C.
Telephone Number	:	214-528-1900

Provider Enumeration Date	:	10/04/2007
Last Update Date	:	10/04/2007

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