MEDICARE: A PLUS BONE & JOINT CENTER

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	174400000X	Specialist
2	111N00000X	Chiropractor	8424	TX
3	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1619284254
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A PLUS BONE & JOINT CENTER

Provider Business Mailing Address
First Line	:	11011 OAKCENTER DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-1962
Country	:	US
Telephone Number	:	832-552-0451
Fax Number	:	713-552-1747

Provider Business Practice Location Address
First Line	:	10100 BEECHNUT ST STE 110
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-5042
Country	:	US
Telephone Number	:	832-552-0451
Fax Number	:	713-552-1747

Authorized Official
Title or Position	:	MANAGER
Name	:	DR. AMARA TEA
Credential	:
Telephone Number	:	832-552-0451

Provider Enumeration Date	:	09/02/2010
Last Update Date	:	09/02/2010

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Directions to “A PLUS BONE & JOINT CENTER ” Practice Location

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