MEDICARE: FORT BEND CHIROPRACTIC & REHAB CENTER,P.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	6395	TX

General Provider Information

NPI Number	:	1609058700
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FORT BEND CHIROPRACTIC & REHAB CENTER,P.C.

Provider Business Mailing Address
First Line	:	PO BOX 139
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77487-0139
Country	:	US
Telephone Number	:	281-277-2273
Fax Number	:	281-403-1189

Provider Business Practice Location Address
First Line	:	2855 DULLES AVE
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-2950
Country	:	US
Telephone Number	:	281-277-2273
Fax Number	:	281-499-3005

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CARL TOLOPKA
Credential	:	D.C.
Telephone Number	:	281-277-2273

Provider Enumeration Date	:	11/29/2007
Last Update Date	:	12/09/2007

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