MEDICARE: DR. THOMAS D AMON 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	9433	TX

General Provider Information

NPI Number	:	1407854011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS D AMON D.C.

Provider Business Mailing Address
First Line	:	800 8TH AVE
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-2601
Country	:	US
Telephone Number	:	817-367-9981
Fax Number	:	817-367-9982

Provider Business Practice Location Address
First Line	:	800 8TH AVE
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-2601
Country	:	US
Telephone Number	:	817-367-9981
Fax Number	:	817-367-9982

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

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	01/30/2025

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