MEDICARE: PAIGE M WHITFIELD 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	13147	TX

General Provider Information

NPI Number	:	1275994204
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAIGE M WHITFIELD D.C.

Provider Business Mailing Address
First Line	:	9410 CYPRESS CREEK PKWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-6211
Country	:	US
Telephone Number	:	832-326-8340
Fax Number	:

Provider Business Practice Location Address
First Line	:	4851 FAIR OAK DALE LN
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77346-1866
Country	:	US
Telephone Number	:	832-326-8340
Fax Number	:

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

Provider Enumeration Date	:	03/18/2016
Last Update Date	:	06/24/2016

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