MEDICARE: FIRST CHOICE CHIROPRACTIC HEALTH & WELLNESS CENTERS 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	9389	TX

General Provider Information

NPI Number	:	1861728172
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST CHOICE CHIROPRACTIC HEALTH & WELLNESS CENTERS LLC

Provider Business Mailing Address
First Line	:	17370 PRESTON RD
Second Line	:	SUITE 380
City	:	DALLAS
State	:	TX
Zip	:	75252-5998
Country	:	US
Telephone Number	:	214-566-3434
Fax Number	:

Provider Business Practice Location Address
First Line	:	17370 PRESTON RD
Second Line	:	SUITE 380
City	:	DALLAS
State	:	TX
Zip	:	75252-5998
Country	:	US
Telephone Number	:	214-566-3434
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RAHIM BEDHAR
Credential	:	DC
Telephone Number	:	214-566-3434

Provider Enumeration Date	:	10/21/2009
Last Update Date	:	10/21/2009

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