MEDICARE: SUNRISE CHIROPRACTIC GROUP PA

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

General Provider Information

NPI Number	:	1871666511
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNRISE CHIROPRACTIC GROUP PA

Provider Business Mailing Address
First Line	:	25300 BOROUGH PARK DR STE B
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77380-3552
Country	:	US
Telephone Number	:	281-367-0404
Fax Number	:

Provider Business Practice Location Address
First Line	:	25300 BOROUGH PARK DR
Second Line	:	SUITE B
City	:	SPRING
State	:	TX
Zip	:	77380-3552
Country	:	US
Telephone Number	:	281-298-8716
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. TODD EDWARD HATCH
Credential	:	D.C.
Telephone Number	:	281-794-8581

Provider Enumeration Date	:	11/17/2006
Last Update Date	:	12/17/2025

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