MEDICARE: SPINAL CENTERS OF TEXAS,INC.

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
2	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1629279039
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPINAL CENTERS OF TEXAS,INC.

Provider Business Mailing Address
First Line	:	1145 HIGHWAY 6 S
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-1021
Country	:	US
Telephone Number	:	281-493-2535
Fax Number	:	281-493-1855

Provider Business Practice Location Address
First Line	:	1145 HIGHWAY 6 S
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-1021
Country	:	US
Telephone Number	:	281-493-2535
Fax Number	:	281-493-1855

Authorized Official
Title or Position	:	OWNER DOCTOR
Name	:	DR. FREDERICK CHARLES SAVARD
Credential	:	D.C.
Telephone Number	:	281-493-2535

Provider Enumeration Date	:	05/31/2007
Last Update Date	:	02/10/2014

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