MEDICARE: SPINES R US INCORPORATED

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	6208	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	U44989	OTHER	TX	UPIN

General Provider Information

NPI Number	:	1790950616
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPINES R US INCORPORATED

Provider Business Mailing Address
First Line	:	2940 BROADWAY BLVD
Second Line	:	STE 110
City	:	GARLAND
State	:	TX
Zip	:	75041-3776
Country	:	US
Telephone Number	:	972-644-4744
Fax Number	:	972-644-4009

Provider Business Practice Location Address
First Line	:	2940 BROADWAY BLVD
Second Line	:	STE 110
City	:	GARLAND
State	:	TX
Zip	:	75041-3776
Country	:	US
Telephone Number	:	972-644-4744
Fax Number	:	972-644-4009

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	SHARON LYNN DUNAGAN
Credential	:	D.C.
Telephone Number	:	972-644-4744

Provider Enumeration Date	:	04/23/2008
Last Update Date	:	07/01/2010

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Directions to “SPINES R US INCORPORATED ” Practice Location

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