MEDICARE: GARLAND NCT CORP

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		TX

General Provider Information

NPI Number	:	1235340399
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GARLAND NCT CORP

Provider Business Mailing Address
First Line	:	2361 S COLLINS ST
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76014-1224
Country	:	US
Telephone Number	:	817-801-9000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2361 S COLLINS ST
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76014-1224
Country	:	US
Telephone Number	:	817-801-9000
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NAM TRAN
Credential	:
Telephone Number	:	214-642-1551

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	08/22/2020

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Directions to “GARLAND NCT CORP ” Practice Location

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