MEDICARE: RICK L ANTHONY D.C.

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	3021	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	350009946	OTHER	TX	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720086432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICK L ANTHONY D.C.

Provider Business Mailing Address
First Line	:	1602 W AVENUE A
Second Line	:	SUITE 100
City	:	TEMPLE
State	:	TX
Zip	:	76504-4080
Country	:	US
Telephone Number	:	254-778-6474
Fax Number	:	254-778-6491

Provider Business Practice Location Address
First Line	:	1602 W AVENUE A
Second Line	:	SUITE 100
City	:	TEMPLE
State	:	TX
Zip	:	76504-4080
Country	:	US
Telephone Number	:	254-778-6474
Fax Number	:	254-778-6491

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	07/08/2008

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Directions to “ RICK L ANTHONY D.C.” Practice Location

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