MEDICARE: DR. SANDRA M POWERS 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	10095	TX
2	111N00000X	Chiropractor	29237	CA

General Provider Information

NPI Number	:	1558330084
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SANDRA M POWERS D.C.

Provider Business Mailing Address
First Line	:	5250 PUEBLO LN
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75034-1222
Country	:	US
Telephone Number	:	831-251-0006
Fax Number	:	888-358-8913

Provider Business Practice Location Address
First Line	:	2710 N JOSEY LN
Second Line	:	SUITE 301
City	:	CARROLLTON
State	:	TX
Zip	:	75007-5400
Country	:	US
Telephone Number	:	214-483-3550
Fax Number	:	888-358-8913

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

Provider Enumeration Date	:	03/16/2006
Last Update Date	:	07/08/2007

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