Healthcare Provider Details

I. General information

NPI: 1174859573
Provider Name (Legal Business Name): M.R. FAMILY CIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2009
Last Update Date: 10/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15525 SPECTRUM DR APT 4735
ADDISON TX
75001-6679
US

IV. Provider business mailing address

15525 SPECTRUM DR APT 4735
ADDISON TX
75001-6679
US

V. Phone/Fax

Practice location:
  • Phone: 972-693-4787
  • Fax: 972-735-9972
Mailing address:
  • Phone: 972-693-4787
  • Fax: 972-735-9972

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number11016
License Number StateTX

VIII. Authorized Official

Name: DR. MICHAEL RASHID
Title or Position: PRESIDENT
Credential: D.C.
Phone: 972-693-4787