MEDICARE: ARKANSAS PIONEER CHIROPRACTIC HEALTH CENTRE P A

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	DC9151	TX
2	111N00000X	Chiropractor	DC2741	TX

General Provider Information

NPI Number	:	1659474856
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARKANSAS PIONEER CHIROPRACTIC HEALTH CENTRE P A

Provider Business Mailing Address
First Line	:	PO BOX 151718
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76015-1258
Country	:	US
Telephone Number	:	817-265-7335
Fax Number	:	817-265-7361

Provider Business Practice Location Address
First Line	:	1419 W ARKANSAS LANE
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76013
Country	:	US
Telephone Number	:	817-265-7335
Fax Number	:	817-265-7361

Authorized Official
Title or Position	:	OWNER
Name	:	JOSEPH P VIERNOW
Credential	:	DC
Telephone Number	:	817-265-7335

Provider Enumeration Date	:	09/06/2006
Last Update Date	:	11/24/2009

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Directions to “ARKANSAS PIONEER CHIROPRACTIC HEALTH CENTRE P A ” Practice Location

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