MEDICARE: CAMERON MCDONALD SZOK L.AC.

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	171100000X	Acupuncturist	AC01294	TX

General Provider Information

NPI Number	:	1922389329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAMERON MCDONALD SZOK L.AC.

Provider Business Mailing Address
First Line	:	3010 6TH AVE
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76110-3434
Country	:	US
Telephone Number	:	817-913-2421
Fax Number	:

Provider Business Practice Location Address
First Line	:	1810 8TH AVE STE B
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76110-1352
Country	:	US
Telephone Number	:	817-913-2421
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2011
Last Update Date	:	12/10/2019

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