MEDICARE: ADVANCE BEING CLINIC

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	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1043198666
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCE BEING CLINIC

Provider Business Mailing Address
First Line	:	1029 LONG PRAIRIE RD STE C
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75022-4344
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1029 LONG PRAIRIE RD STE C
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75022-4344
Country	:	US
Telephone Number	:	214-531-3485
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BIHN PHAM
Credential	:
Telephone Number	:	214-531-3485

Provider Enumeration Date	:	08/22/2025
Last Update Date	:	08/22/2025

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Directions to “ADVANCE BEING CLINIC ” Practice Location

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