MEDICARE: QUINTON REEL 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	14001	TX

General Provider Information

NPI Number	:	1669931424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	QUINTON REEL DC

Provider Business Mailing Address
First Line	:	1219 WASHINGTON ST
Second Line	:
City	:	COMMERCE
State	:	TX
Zip	:	75428-2613
Country	:	US
Telephone Number	:	903-456-5548
Fax Number	:

Provider Business Practice Location Address
First Line	:	1219 WASHINGTON ST
Second Line	:
City	:	COMMERCE
State	:	TX
Zip	:	75428-2613
Country	:	US
Telephone Number	:	903-456-5548
Fax Number	:

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

Provider Enumeration Date	:	03/19/2019
Last Update Date	:	08/05/2021

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Directions to “ QUINTON REEL DC” Practice Location

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