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NPI Code Detail

MEDICARE: GRANT FIELD DC

MEDICARE: GRANT FIELD DC
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
1111N00000XChiropractor13352TX

General Provider Information

NPI Number : 1467971036
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRANT FIELD DC
Provider Business Mailing Address
First Line : 4950 BELT LINE RD STE 100
Second Line :
City : DALLAS
State : TX
Zip : 75254-6751
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4950 BELT LINE RD STE 100
Second Line :
City : DALLAS
State : TX
Zip : 75254-6751
Country : US
Telephone Number : 972-239-0010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2017
Last Update Date : 09/14/2017

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Directions to “ GRANT FIELD DC” Practice Location

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