MEDICARE: JASON GUTSCH DC

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	16147	TX

General Provider Information

NPI Number	:	1437978368
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON GUTSCH DC

Provider Business Mailing Address
First Line	:	40390 KELLEY RD
Second Line	:
City	:	HEMPSTEAD
State	:	TX
Zip	:	77445-7813
Country	:	US
Telephone Number	:	903-436-5540
Fax Number	:

Provider Business Practice Location Address
First Line	:	1206 11TH ST
Second Line	:
City	:	HEMPSTEAD
State	:	TX
Zip	:	77445-5260
Country	:	US
Telephone Number	:	903-436-5540
Fax Number	:

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

Provider Enumeration Date	:	10/08/2024
Last Update Date	:	10/08/2024

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Directions to “ JASON GUTSCH DC” Practice Location

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