MEDICARE: CHIROPRACTIC ARTS & SCIENCE, LLC

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	07204	TX

General Provider Information

NPI Number	:	1437513074
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHIROPRACTIC ARTS & SCIENCE, LLC

Provider Business Mailing Address
First Line	:	3300 CRAWFORD ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-2927
Country	:	US
Telephone Number	:	713-522-3878
Fax Number	:	713-522-3879

Provider Business Practice Location Address
First Line	:	3300 CRAWFORD ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-2927
Country	:	US
Telephone Number	:	713-522-3878
Fax Number	:	713-522-3879

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MADELINE NICOLE WASHINGTON
Credential	:	D.C.
Telephone Number	:	713-522-3878

Provider Enumeration Date	:	04/10/2016
Last Update Date	:	04/10/2016

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