MEDICARE: LINDALE CHIROPRACTIC CENTER

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	111NR0400X	Rehabilitation Chiropractor	11509	TX
2	111N00000X	Chiropractor	11509	TX

General Provider Information

NPI Number	:	1952604548
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINDALE CHIROPRACTIC CENTER

Provider Business Mailing Address
First Line	:	9100 SOUTHWEST FWY
Second Line	:	225
City	:	HOUSTON
State	:	TX
Zip	:	77074-1519
Country	:	US
Telephone Number	:	713-771-1583
Fax Number	:	713-456-2954

Provider Business Practice Location Address
First Line	:	9100 SOUTHWEST FWY
Second Line	:	225
City	:	HOUSTON
State	:	TX
Zip	:	77074-1519
Country	:	US
Telephone Number	:	713-771-1583
Fax Number	:	713-456-2954

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. DUY BUI
Credential	:	D.C.
Telephone Number	:	713-771-1583

Provider Enumeration Date	:	12/21/2010
Last Update Date	:	12/21/2010

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Directions to “LINDALE CHIROPRACTIC CENTER ” Practice Location

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