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NPI Code Detail

MEDICARE: VILLAGE CHIROPRACTIC TOMBALL PLLC

MEDICARE: VILLAGE CHIROPRACTIC TOMBALL PLLC
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
1111N00000XChiropractor

General Provider Information

NPI Number : 1306656988
Entity Type Code : Organization
Provider Name (Legal Business Name) : VILLAGE CHIROPRACTIC TOMBALL PLLC
Provider Business Mailing Address
First Line : 7901 RESEARCH FOREST DR STE 900
Second Line :
City : THE WOODLANDS
State : TX
Zip : 77382-1484
Country : US
Telephone Number : 281-292-4777
Fax Number : 281-292-4828
Provider Business Practice Location Address
First Line : 12711 TELGE RD STE 300
Second Line :
City : CYPRESS
State : TX
Zip : 77429-2325
Country : US
Telephone Number : 281-292-4777
Fax Number : 281-292-4828
Authorized Official
Title or Position : PRESIDENT
Name : DR. TIMOTHY THOMAS
Credential : DC
Telephone Number : 281-292-4777
Provider Enumeration Date : 01/07/2025
Last Update Date : 01/07/2025

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Directions to “VILLAGE CHIROPRACTIC TOMBALL PLLC ” Practice Location

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