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NPI Code Detail

MEDICARE: MIA KAY MEYER

MEDICARE: MIA KAY MEYER
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
1111N00000XChiropractor11340TX

General Provider Information

NPI Number : 1427388008
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIA KAY MEYER
Provider Business Mailing Address
First Line : PO BOX 150777
Second Line :
City : FORT WORTH
State : TX
Zip : 76108-0777
Country : US
Telephone Number : 817-877-5353
Fax Number : 817-877-5357
Provider Business Practice Location Address
First Line : 903 SUMMIT AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76102-3421
Country : US
Telephone Number : 817-877-5353
Fax Number : 817-877-5357
Authorized Official
Title or Position : PHYSICIAN
Name : DR. JASON MEYER
Credential : DC
Telephone Number : 817-877-5353
Provider Enumeration Date : 01/05/2010
Last Update Date : 04/29/2010

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Directions to “MIA KAY MEYER ” Practice Location

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