MEDICARE: DR. SARAH KORONFEL 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	12378	TX
2	111NP0017X	Pediatric Chiropractor	12378	TX

General Provider Information

NPI Number	:	1306251335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH KORONFEL D.C.

Provider Business Mailing Address
First Line	:	12410 SAINT MICHEL DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77015-3347
Country	:	US
Telephone Number	:	832-766-6020
Fax Number	:

Provider Business Practice Location Address
First Line	:	12410 SAINT MICHEL DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77015-3347
Country	:	US
Telephone Number	:	832-766-6020
Fax Number	:

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

Provider Enumeration Date	:	06/28/2014
Last Update Date	:	06/28/2014

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