MEDICARE: DR. MAGGIE KATHRYN NORCROSS 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	13495	TX

General Provider Information

NPI Number	:	1558881342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAGGIE KATHRYN NORCROSS DC

Provider Business Mailing Address
First Line	:	207 W HICKORY ST STE 210
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76201-4150
Country	:	US
Telephone Number	:	940-514-1701
Fax Number	:	940-514-1132

Provider Business Practice Location Address
First Line	:	207 W HICKORY ST STE 210
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76201-4150
Country	:	US
Telephone Number	:	940-514-1701
Fax Number	:	940-514-1132

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

Provider Enumeration Date	:	06/22/2017
Last Update Date	:	01/24/2019

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