MEDICARE: A PLUS INJURY & REHAB CLINIC

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	10553	TX

General Provider Information

NPI Number	:	1992049415
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A PLUS INJURY & REHAB CLINIC

Provider Business Mailing Address
First Line	:	220 E SEMINARY DR
Second Line	:	SUITE 250
City	:	FORT WORTH
State	:	TX
Zip	:	76115-2607
Country	:	US
Telephone Number	:	817-926-1999
Fax Number	:	817-926-1990

Provider Business Practice Location Address
First Line	:	220 E SEMINARY DR
Second Line	:	SUITE 250
City	:	FORT WORTH
State	:	TX
Zip	:	76115-2607
Country	:	US
Telephone Number	:	817-926-1999
Fax Number	:	817-926-1990

Authorized Official
Title or Position	:	PARTNER
Name	:	MICHAEL NGUYEN
Credential	:
Telephone Number	:	817-926-1999

Provider Enumeration Date	:	11/21/2012
Last Update Date	:	11/21/2012

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