MEDICARE: DR. KRISTY R SIMANK 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
1	111N00000X	Chiropractor	8645	TX

General Provider Information

NPI Number	:	1952485500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISTY R SIMANK D.C.

Provider Business Mailing Address
First Line	:	5330 NORTH FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77022-1816
Country	:	US
Telephone Number	:	713-695-9991
Fax Number	:	713-695-9993

Provider Business Practice Location Address
First Line	:	5330 NORTH FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77022-1816
Country	:	US
Telephone Number	:	713-695-9991
Fax Number	:	713-695-9993

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

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	07/08/2007

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