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NPI Code Detail

MEDICARE: PHOENIX CHIROPRACTIC DALLAS

MEDICARE: PHOENIX CHIROPRACTIC DALLAS
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
1111N00000XChiropractor

General Provider Information

NPI Number : 1164378030
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHOENIX CHIROPRACTIC DALLAS
Provider Business Mailing Address
First Line : 9440 POPPY DR
Second Line :
City : DALLAS
State : TX
Zip : 75218-3652
Country : US
Telephone Number : 214-935-5219
Fax Number : 214-935-5592
Provider Business Practice Location Address
First Line : 9440 POPPY DR
Second Line :
City : DALLAS
State : TX
Zip : 75218-3652
Country : US
Telephone Number : 214-935-5219
Fax Number : 214-935-5592
Authorized Official
Title or Position : OWNER
Name : MICHAEL CARR
Credential : DC
Telephone Number : 432-349-9826
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/04/2026

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Directions to “PHOENIX CHIROPRACTIC DALLAS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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