Healthcare Provider Details

I. General information

NPI: 1366972705
Provider Name (Legal Business Name): LMS CHIRO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4634 CAMP BOWIE BLVD
FORT WORTH TX
76107-3744
US

IV. Provider business mailing address

4634 CAMP BOWIE BLVD
FORT WORTH TX
76107-3744
US

V. Phone/Fax

Practice location:
  • Phone: 817-375-3839
  • Fax: 817-735-3837
Mailing address:
  • Phone: 817-375-3839
  • Fax: 817-735-3837

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. BRIAN R. SAUL
Title or Position: PRESIDENT
Credential: D.C.
Phone: 817-735-3839