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NPI Code Detail

MEDICARE: TEXAS CHIROPRACTIC COLLEGE DBA MOODY HEALTH CENTER

MEDICARE: TEXAS CHIROPRACTIC COLLEGE DBA MOODY HEALTH CENTER
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
1261Q00000XClinic/CenterF01196TX

General Provider Information

NPI Number : 1861429961
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEXAS CHIROPRACTIC COLLEGE DBA MOODY HEALTH CENTER
Provider Business Mailing Address
First Line : 5912 SPENCER HWY
Second Line :
City : PASADENA
State : TX
Zip : 77505-1602
Country : US
Telephone Number : 281-487-1501
Fax Number : 281-487-6768
Provider Business Practice Location Address
First Line : 5912 SPENCER HWY
Second Line :
City : PASADENA
State : TX
Zip : 77505-1602
Country : US
Telephone Number : 281-487-1501
Fax Number : 281-487-6768
Authorized Official
Title or Position : CLINIC DIRECTOR
Name : DR. BRADLEY KOBY
Credential : D.C.
Telephone Number : 281-487-1501
Provider Enumeration Date : 06/26/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

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Practice Location Address:
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1972507937 — KERRY ANN RODOCKER-WIARDA D.C.
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1669417622 — STEPHEN JOSEPH DYESS DC
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1043256696 — DR. ADRAINE LYNN MOSELY D.C,
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1972532182 — DR. IMAN R WRIGHT
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Directions to “TEXAS CHIROPRACTIC COLLEGE DBA MOODY HEALTH CENTER ” Practice Location

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