MEDICARE: DR. MICHELLE PARIS 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	11014	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1023501814	OTHER	TX	NPI
2	11014	OTHER	TX	ST LICENSE
3	1669474912	OTHER	TX	NPI

General Provider Information

NPI Number	:	1649416546
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHELLE PARIS DC

Provider Business Mailing Address
First Line	:	1802 WESTMOOR DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78723-3412
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1802 WESTMOOR DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78723-3412
Country	:	US
Telephone Number	:	512-640-8090
Fax Number	:

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

Provider Enumeration Date	:	12/23/2008
Last Update Date	:	12/29/2022

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Directions to “ DR. MICHELLE PARIS DC” Practice Location

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