MEDICARE: DR. JAMES ALAN GAFKEN 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	4229	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639212343
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES ALAN GAFKEN DC

Provider Business Mailing Address
First Line	:	PO BOX 2237
Second Line	:	3002 HIGHWAY 377 SOUTH
City	:	BROWNWOOD
State	:	TX
Zip	:	76804-2237
Country	:	US
Telephone Number	:	325-646-4664
Fax Number	:	325-643-5861

Provider Business Practice Location Address
First Line	:	3002 HWY 377 SOUTH
Second Line	:
City	:	BROWNWOOD
State	:	TX
Zip	:	78804-5122
Country	:	US
Telephone Number	:	325-646-4664
Fax Number	:	325-643-5861

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

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	10/24/2011

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