MEDICARE: TEXAS HEALTH CLINICS 4 PLLC

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

General Provider Information

NPI Number	:	1588987861
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS HEALTH CLINICS 4 PLLC

Provider Business Mailing Address
First Line	:	5971 VIRGINIA PKWY
Second Line	:	SUITE 150
City	:	MCKINNEY
State	:	TX
Zip	:	75071-5539
Country	:	US
Telephone Number	:	972-547-9505
Fax Number	:	972-829-8943

Provider Business Practice Location Address
First Line	:	5971 VIRGINIA PKWY STE 150
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-5618
Country	:	US
Telephone Number	:	972-547-9505
Fax Number	:	972-829-8943

Authorized Official
Title or Position	:	MANAGER
Name	:	DR. MARK RIGGS
Credential	:	D.C.
Telephone Number	:	972-547-9505

Provider Enumeration Date	:	03/01/2010
Last Update Date	:	07/03/2012

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