MEDICARE: CIZOMBS PLLC

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	111NN0400X	Neurology Chiropractor	7906	TX
2	111N00000X	Chiropractor	7906	TX

General Provider Information

NPI Number	:	1982617858
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CIZOMBS PLLC

Provider Business Mailing Address
First Line	:	130 E BARDIN RD STE 144
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76018-1030
Country	:	US
Telephone Number	:	817-419-6681
Fax Number	:	817-465-3580

Provider Business Practice Location Address
First Line	:	130 E BARDIN RD STE 144
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76018-1030
Country	:	US
Telephone Number	:	817-419-6681
Fax Number	:	817-465-3580

Authorized Official
Title or Position	:	MANAGER
Name	:	DR. MICHAEL COMBS
Credential	:	DC
Telephone Number	:	817-419-6681

Provider Enumeration Date	:	08/14/2006
Last Update Date	:	03/29/2023

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