MEDICARE: PERFECTLY FIT, 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	10198	TX

General Provider Information

NPI Number	:	1649489964
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERFECTLY FIT, INC

Provider Business Mailing Address
First Line	:	P.O. BOX 20532
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77225
Country	:	US
Telephone Number	:	713-667-4325
Fax Number	:

Provider Business Practice Location Address
First Line	:	3003 S LOOP W
Second Line	:	SUITE 540
City	:	HOUSTON
State	:	TX
Zip	:	77054-1301
Country	:	US
Telephone Number	:	713-667-4325
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SHARVELLE L JONES
Credential	:	D.C.
Telephone Number	:	713-667-4325

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	09/19/2013

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Directions to “PERFECTLY FIT, INC ” Practice Location

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