MEDICARE: MATT PARSONS CHIROPRACTIC ASSOCIATES, INC.

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	9845	TX

General Provider Information

NPI Number	:	1427233139
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MATT PARSONS CHIROPRACTIC ASSOCIATES, INC.

Provider Business Mailing Address
First Line	:	1009 CHESTNUT ST
Second Line	:
City	:	BASTROP
State	:	TX
Zip	:	78602-3303
Country	:	US
Telephone Number	:	512-321-9604
Fax Number	:	512-581-9600

Provider Business Practice Location Address
First Line	:	1009 CHESTNUT ST
Second Line	:
City	:	BASTROP
State	:	TX
Zip	:	78602-3303
Country	:	US
Telephone Number	:	512-321-9604
Fax Number	:	512-581-9600

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MATTHEW HENRY PARSONS
Credential	:	D.C.
Telephone Number	:	512-321-9604

Provider Enumeration Date	:	01/02/2008
Last Update Date	:	01/02/2008

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