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NPI Code Detail

MEDICARE: MR. JOSEPH ARTHUR REILLY JR. DC

MEDICARE:  MR. JOSEPH ARTHUR REILLY JR. 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
1111N00000XChiropractor2900TX

General Provider Information

NPI Number : 1780736967
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSEPH ARTHUR REILLY JR. DC
Provider Business Mailing Address
First Line : 17707 HIDDEN FOREST DR
Second Line :
City : SPRING
State : TX
Zip : 77379-8765
Country : US
Telephone Number : 713-524-0966
Fax Number : 713-524-1204
Provider Business Practice Location Address
First Line : 3415 LOUISIANA ST
Second Line :
City : HOUSTON
State : TX
Zip : 77002-9523
Country : US
Telephone Number : 713-524-0966
Fax Number : 713-524-1204
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2007
Last Update Date : 07/09/2007

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