MEDICARE: BART B KEY D.C.

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	DC6224	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	88690X	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1457420036
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BART B KEY D.C.

Provider Business Mailing Address
First Line	:	440 BENMAR DR STE 3400
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77060-3169
Country	:	US
Telephone Number	:	832-448-7800
Fax Number	:	832-448-7801

Provider Business Practice Location Address
First Line	:	440 BENMAR DR STE 3400
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77060-3169
Country	:	US
Telephone Number	:	832-448-7800
Fax Number	:	832-448-7801

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

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	07/25/2007

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Directions to “ BART B KEY D.C.” Practice Location

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