MEDICARE: DONALD THIGPEN DC 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	12599	TX

General Provider Information

NPI Number	:	1932592227
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DONALD THIGPEN DC LLC

Provider Business Mailing Address
First Line	:	1210 E MCNEESE ST
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70607-4756
Country	:	US
Telephone Number	:	337-304-8225
Fax Number	:

Provider Business Practice Location Address
First Line	:	10001 WESTHEIMER RD STE 2960
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77042-3181
Country	:	US
Telephone Number	:	337-304-8225
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	DR. DONALD THIGPEN
Credential	:	D.C.
Telephone Number	:	337-304-8225

Provider Enumeration Date	:	03/10/2015
Last Update Date	:	03/10/2015

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