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NPI Code Detail

MEDICARE: THORNTON CHIROPRACTIC, INC.

MEDICARE: THORNTON CHIROPRACTIC, 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
1111N00000XChiropractor10470TX

General Provider Information

NPI Number : 1639313588
Entity Type Code : Organization
Provider Name (Legal Business Name) : THORNTON CHIROPRACTIC, INC.
Provider Business Mailing Address
First Line : 12303 W SHADOW LAKE LN
Second Line :
City : CYPRESS
State : TX
Zip : 77429-2823
Country : US
Telephone Number : 713-521-2003
Fax Number : 713-521-2057
Provider Business Practice Location Address
First Line : 12303 W SHADOW LAKE LN
Second Line :
City : CYPRESS
State : TX
Zip : 77429-2823
Country : US
Telephone Number : 713-521-2003
Fax Number : 713-521-2057
Authorized Official
Title or Position : DOCTOR/OWNER
Name : CHADWICK THORNTON
Credential : D.C.
Telephone Number : 832-654-0170
Provider Enumeration Date : 04/22/2009
Last Update Date : 04/22/2009

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Directions to “THORNTON CHIROPRACTIC, INC. ” Practice Location

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