MEDICARE: JOHN FORBES GROUNDS

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	13757	TX

General Provider Information

NPI Number	:	1720585441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN FORBES GROUNDS

Provider Business Mailing Address
First Line	:	701 CLEVELAND ST APT 1205
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77019-5249
Country	:	US
Telephone Number	:	281-910-4457
Fax Number	:

Provider Business Practice Location Address
First Line	:	17024 BUTTE CREEK RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77090-2347
Country	:	US
Telephone Number	:	713-588-0042
Fax Number	:

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

Provider Enumeration Date	:	04/09/2018
Last Update Date	:	04/09/2018

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Directions to “ JOHN FORBES GROUNDS ” Practice Location

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