MEDICARE: DR. STEPHANIE JANIAK 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	10559	TX

General Provider Information

NPI Number	:	1710156179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHANIE JANIAK DC

Provider Business Mailing Address
First Line	:	5609 SW GREEN OAKS BLVD
Second Line	:	STE 103
City	:	ARLINGTON
State	:	TX
Zip	:	76017-1153
Country	:	US
Telephone Number	:	817-423-2600
Fax Number	:	817-523-6996

Provider Business Practice Location Address
First Line	:	5609 SW GREEN OAKS BLVD
Second Line	:	STE 103
City	:	ARLINGTON
State	:	TX
Zip	:	76017-1153
Country	:	US
Telephone Number	:	817-423-2600
Fax Number	:	817-523-6996

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

Provider Enumeration Date	:	02/29/2008
Last Update Date	:	01/07/2020

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