MEDICARE: CHRISTIAN ELIJAH SAMANO 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	16748	TX

General Provider Information

NPI Number	:	1447107131
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTIAN ELIJAH SAMANO DC

Provider Business Mailing Address
First Line	:	9660 TEN GALLON DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76123-2186
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9660 TEN GALLON DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76123-2186
Country	:	US
Telephone Number	:	972-743-2067
Fax Number	:

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

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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Directions to “ CHRISTIAN ELIJAH SAMANO DC” Practice Location

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