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NPI Code Detail

MEDICARE: APEX CHIROPRACTIC CLINIC

MEDICARE: APEX CHIROPRACTIC CLINIC
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
1111N00000XChiropractorDC8008TX

General Provider Information

NPI Number : 1346576774
Entity Type Code : Organization
Provider Name (Legal Business Name) : APEX CHIROPRACTIC CLINIC
Provider Business Mailing Address
First Line : 1795 N FRY RD # 197
Second Line :
City : KATY
State : TX
Zip : 77449-3347
Country : US
Telephone Number : 281-829-5435
Fax Number : 281-829-8511
Provider Business Practice Location Address
First Line : 2430 FRY RD # 102
Second Line :
City : HOUSTON
State : TX
Zip : 77084-5831
Country : US
Telephone Number : 281-829-5435
Fax Number : 281-829-8511
Authorized Official
Title or Position : PRESIDENT
Name : TRACY THUYTIEN PHAM
Credential : DC
Telephone Number : 281-829-5435
Provider Enumeration Date : 10/20/2009
Last Update Date : 10/20/2009

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Directions to “APEX CHIROPRACTIC CLINIC ” Practice Location

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