MEDICARE: DR. MICHAEL ALAN DAVENPORT 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	7122	TX

General Provider Information

NPI Number	:	1851389092
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL ALAN DAVENPORT D.C.

Provider Business Mailing Address
First Line	:	7114 FM 1960 RD E
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77346-2702
Country	:	US
Telephone Number	:	281-852-2424
Fax Number	:	281-852-1071

Provider Business Practice Location Address
First Line	:	7114 FM 1960 RD E
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77346-2702
Country	:	US
Telephone Number	:	281-852-2424
Fax Number	:	281-852-1071

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

Provider Enumeration Date	:	10/12/2005
Last Update Date	:	07/09/2007

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Directions to “ DR. MICHAEL ALAN DAVENPORT D.C.” Practice Location

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