MEDICARE: DR. DENISA WEBER 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	11321	TX

General Provider Information

NPI Number	:	1538562533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENISA WEBER D.C.

Provider Business Mailing Address
First Line	:	6801 SNIDER PLZ
Second Line	:	SUITE 230
City	:	DALLAS
State	:	TX
Zip	:	75205-1366
Country	:	US
Telephone Number	:	214-543-2768
Fax Number	:

Provider Business Practice Location Address
First Line	:	6801 SNIDER PLZ
Second Line	:	SUITE 230
City	:	DALLAS
State	:	TX
Zip	:	75205-1366
Country	:	US
Telephone Number	:	214-543-2768
Fax Number	:

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

Provider Enumeration Date	:	10/03/2014
Last Update Date	:	10/03/2014

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Directions to “ DR. DENISA WEBER D.C.” Practice Location

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