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NPI Code Detail

MEDICARE: DR. JOHN MARTH D.C.

MEDICARE: DR. JOHN MARTH 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
1111N00000XChiropractor4482TX

General Provider Information

NPI Number : 1861485823
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN MARTH D.C.
Provider Business Mailing Address
First Line : 2500 WALNUT HILL LN
Second Line :
City : DALLAS
State : TX
Zip : 75229-5609
Country : US
Telephone Number : 972-438-6932
Fax Number : 214-902-3475
Provider Business Practice Location Address
First Line : 2600 ELECTRONIC LN
Second Line :
City : DALLAS
State : TX
Zip : 75220-1216
Country : US
Telephone Number : 972-438-6932
Fax Number : 214-902-3475
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2005
Last Update Date : 07/16/2010

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