MEDICARE: FROSTWOOD CHIROPRACTIC P.A.

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	5856	TX

General Provider Information

NPI Number	:	1295973139
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FROSTWOOD CHIROPRACTIC P.A.

Provider Business Mailing Address
First Line	:	825 FROSTWOOD DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-4131
Country	:	US
Telephone Number	:	713-932-6384
Fax Number	:	713-465-7708

Provider Business Practice Location Address
First Line	:	825 FROSTWOOD DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-4131
Country	:	US
Telephone Number	:	713-932-6384
Fax Number	:	713-465-7708

Authorized Official
Title or Position	:	CHIROPRACTOR/OWNER
Name	:	DR. MARK T HENDRY
Credential	:	D.C.
Telephone Number	:	713-932-6384

Provider Enumeration Date	:	01/30/2009
Last Update Date	:	08/04/2009

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Directions to “FROSTWOOD CHIROPRACTIC P.A. ” Practice Location

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