MEDICARE: BESTHEALTH CHIROPRACTIC

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	9155	TX

General Provider Information

NPI Number	:	1356521793
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BESTHEALTH CHIROPRACTIC

Provider Business Mailing Address
First Line	:	6316 AZLE AVE
Second Line	:	SUITE 600
City	:	FORT WORTH
State	:	TX
Zip	:	76135-2452
Country	:	US
Telephone Number	:	817-237-5900
Fax Number	:	817-238-6318

Provider Business Practice Location Address
First Line	:	6316 AZLE AVE
Second Line	:	SUITE 600
City	:	FORT WORTH
State	:	TX
Zip	:	76135-2452
Country	:	US
Telephone Number	:	817-237-5900
Fax Number	:	817-238-6318

Authorized Official
Title or Position	:	PROPRIETOR
Name	:	JULIO FAJARDO
Credential	:	DC
Telephone Number	:	817-237-5900

Provider Enumeration Date	:	11/13/2007
Last Update Date	:	01/22/2008

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Directions to “BESTHEALTH CHIROPRACTIC ” Practice Location

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