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NPI Code Detail

MEDICARE: CHIROSPORT SPECIALISTS OF DALLAS

MEDICARE: CHIROSPORT SPECIALISTS OF 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
1111NS0005XSports Physician Chiropractor7351TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17351OTHERTXTEXAS MEDICAL LICENSE
20083499OTHERTXBCBS BLUELINK NUMBER
38U9710OTHERTXBCBS PROVIDER

General Provider Information

NPI Number : 1427168970
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHIROSPORT SPECIALISTS OF DALLAS
Provider Business Mailing Address
First Line : 4950 BELT LINE RD STE 100
Second Line :
City : DALLAS
State : TX
Zip : 75254-6751
Country : US
Telephone Number : 972-239-0010
Fax Number :
Provider Business Practice Location Address
First Line : 4950 BELT LINE RD STE 100
Second Line :
City : DALLAS
State : TX
Zip : 75254-6751
Country : US
Telephone Number : 972-239-0010
Fax Number :
Authorized Official
Title or Position : CHIROPRACTOR
Name : TROY CURTIS VAN BIEZEN
Credential : D.C., A.R.T., B.P.E.
Telephone Number : 972-239-0010
Provider Enumeration Date : 08/30/2006
Last Update Date : 03/08/2010

Similar Medicare Providers

1235270679 — DR. TROY CURTIS VAN BIEZEN D.C.
Practice Location Address:
4950 BELT LINE RD STE 100
DALLAS, TX
75254-6751
Practice Phone: 972-239-0010
Practice Fax:
1962898551 — DR. CHRISTOPHER BRENNAN MILLER D.C.
Practice Location Address:
4950 BELT LINE RD STE 100
DALLAS, TX
75254-6751
Practice Phone: 972-239-0010
Practice Fax: 469-854-2937
1467971036 — GRANT FIELD DC
Practice Location Address:
4950 BELT LINE RD STE 100
DALLAS, TX
75254-6751
Practice Phone: 972-239-0010
Practice Fax:
1568053593 — DR. KYLE MORGAN THOMPSON DC
Practice Location Address:
4950 BELT LINE RD STE 100
DALLAS, TX
75254-6751
Practice Phone: 469-556-5731
Practice Fax: 469-854-2937
1689454001 — DR. COREY R MCCURDY DC
Practice Location Address:
4950 BELT LINE RD STE 100
DALLAS, TX
75254-6751
Practice Phone: 972-239-0010
Practice Fax: 469-854-2937
1497550461 — DR. KARIS MICHAL NOWELL DC
Practice Location Address:
4950 BELT LINE RD STE 100
DALLAS, TX
75254-6751
Practice Phone: 972-239-0010
Practice Fax: 469-854-2937

Directions to “CHIROSPORT SPECIALISTS OF DALLAS ” Practice Location

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