MEDICARE: DR. DORIS W CHOW BUI 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	10092	TX

General Provider Information

NPI Number	:	1285713651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DORIS W CHOW BUI D.C

Provider Business Mailing Address
First Line	:	2929 CENTENNIAL OLYMPIC PARK
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78732-2097
Country	:	US
Telephone Number	:	512-351-1070
Fax Number	:	607-429-1070

Provider Business Practice Location Address
First Line	:	1211 BAYLOR ST
Second Line	:	STE 100
City	:	AUSTIN
State	:	TX
Zip	:	78703-4104
Country	:	US
Telephone Number	:	512-351-1070
Fax Number	:	607-429-1070

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

Provider Enumeration Date	:	11/04/2006
Last Update Date	:	07/08/2007

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