MEDICARE: VILLAGE NATURAL HEALTH, LLC

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	11300	TX
2	111N00000X	Chiropractor	11306	TX

General Provider Information

NPI Number	:	1851629927
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VILLAGE NATURAL HEALTH, LLC

Provider Business Mailing Address
First Line	:	7901 RESEARCH FOREST DR
Second Line	:	#900
City	:	THE WOODLANDS
State	:	TX
Zip	:	77382-1482
Country	:	US
Telephone Number	:	281-292-4777
Fax Number	:	281-292-4828

Provider Business Practice Location Address
First Line	:	7901 RESEARCH FOREST DR
Second Line	:	#900
City	:	THE WOODLANDS
State	:	TX
Zip	:	77382-1482
Country	:	US
Telephone Number	:	281-292-4777
Fax Number	:	281-292-4828

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. TIMOTHY ANDREW THOMAS
Credential	:	D.C.
Telephone Number	:	281-292-4777

Provider Enumeration Date	:	11/30/2009
Last Update Date	:	11/30/2009

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Directions to “VILLAGE NATURAL HEALTH, LLC ” Practice Location

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