MEDICARE: DR. JOHN WESLEY STAMPS D.C.,P.A.

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	6781	TX

General Provider Information

NPI Number	:	1952525198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN WESLEY STAMPS D.C.,P.A.

Provider Business Mailing Address
First Line	:	2810 OAK RUN PARKWAY
Second Line	:	SUITE 100
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78132-4755
Country	:	US
Telephone Number	:	830-625-6011
Fax Number	:	866-362-7075

Provider Business Practice Location Address
First Line	:	2810 OAK RUN PARKWAY
Second Line	:	SUITE 100
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78132-4755
Country	:	US
Telephone Number	:	830-625-6011
Fax Number	:	866-362-7075

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

Provider Enumeration Date	:	04/12/2007
Last Update Date	:	03/27/2012

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