MEDICARE: DR. RACHEL MEDFORD 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	11405	TX

General Provider Information

NPI Number	:	1528347523
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RACHEL MEDFORD DC

Provider Business Mailing Address
First Line	:	2412 OLD NORTH RD
Second Line	:	STE 100B
City	:	DENTON
State	:	TX
Zip	:	76209-1524
Country	:	US
Telephone Number	:	940-565-8118
Fax Number	:	940-387-3070

Provider Business Practice Location Address
First Line	:	2412 OLD NORTH RD
Second Line	:	STE 100B
City	:	DENTON
State	:	TX
Zip	:	76209-1524
Country	:	US
Telephone Number	:	940-565-8118
Fax Number	:	940-387-3070

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

Provider Enumeration Date	:	08/08/2011
Last Update Date	:	08/23/2016

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