MEDICARE: DINGBO SHI 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	14516	TX

General Provider Information

NPI Number	:	1538769666
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DINGBO SHI DC

Provider Business Mailing Address
First Line	:	1906 W ALABAMA ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-2706
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1906 W ALABAMA ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-2706
Country	:	US
Telephone Number	:	832-986-5466
Fax Number	:

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

Provider Enumeration Date	:	10/28/2020
Last Update Date	:	04/27/2022

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Directions to “ DINGBO SHI DC” Practice Location

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