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NPI Code Detail

MEDICARE: GENESIS FAMILY CHIROPRACTIC CENTER

MEDICARE: GENESIS FAMILY CHIROPRACTIC CENTER
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 : 1215110523
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENESIS FAMILY CHIROPRACTIC CENTER
Provider Business Mailing Address
First Line : 5800 INTERSTATE 20 W
Second Line : STE 110
City : ARLINGTON
State : TX
Zip : 76017-1018
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5800 INTERSTATE 20 W
Second Line : STE 110
City : ARLINGTON
State : TX
Zip : 76017-1018
Country : US
Telephone Number : 817-478-7080
Fax Number :
Authorized Official
Title or Position : OWNER
Name : NICHOLAS COLEMAN
Credential : D.C.
Telephone Number : 972-378-9991
Provider Enumeration Date : 12/10/2007
Last Update Date : 02/07/2008

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Directions to “GENESIS FAMILY CHIROPRACTIC CENTER ” Practice Location

Language Start Address Practice Location
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.