MEDICARE: PACE CHIROPRACTIC & PHYSICAL THERAPY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	111N00000X	Chiropractor
2	225100000X	Physical Therapist
3	261Q00000X	Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0008KD	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	861610	OTHER	TX	BCBS CHIROPRACTIC

General Provider Information

NPI Number	:	1437334182
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PACE CHIROPRACTIC & PHYSICAL THERAPY INC

Provider Business Mailing Address
First Line	:	6731 STELLA LINK RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-4342
Country	:	US
Telephone Number	:	713-662-9900
Fax Number	:	713-662-9919

Provider Business Practice Location Address
First Line	:	6731 STELLA LINK RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-4342
Country	:	US
Telephone Number	:	713-662-9900
Fax Number	:	713-662-9919

Authorized Official
Title or Position	:	OWNER
Name	:	MS. MARY BETH PACE
Credential	:	MSPT, DC
Telephone Number	:	713-662-9900

Provider Enumeration Date	:	12/31/2007
Last Update Date	:	08/27/2024

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