MEDICARE: CHIROHEALTH & REHAB

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	9734	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5682942	OTHER	TX	1ST HEALTH NET
2	608147	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1649374869
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHIROHEALTH & REHAB

Provider Business Mailing Address
First Line	:	9815 BAMMEL N HOUSTON
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77086
Country	:	US
Telephone Number	:	281-405-8009
Fax Number	:	281-405-0899

Provider Business Practice Location Address
First Line	:	9815 BAMMEL N HOUSTON
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77086
Country	:	US
Telephone Number	:	281-405-8009
Fax Number	:	281-405-0899

Authorized Official
Title or Position	:	CHIROPRACTOR PRESIDENT
Name	:	DR. QUINN VAN BUI
Credential	:	DC MPH MS
Telephone Number	:	281-405-8009

Provider Enumeration Date	:	09/08/2006
Last Update Date	:	02/13/2012

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Directions to “CHIROHEALTH & REHAB ” Practice Location

Language	Start Address	Practice Location

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