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NPI Code Detail

MEDICARE: ARLINGTON CHIROPRACTIC CENTER LLC

MEDICARE: ARLINGTON CHIROPRACTIC CENTER LLC
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 : 1538610191
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARLINGTON CHIROPRACTIC CENTER LLC
Provider Business Mailing Address
First Line : 1071 COUNTRY CLUB DR
Second Line : SUITE 101
City : MANSFIELD
State : TX
Zip : 76063-2663
Country : US
Telephone Number : 817-453-3999
Fax Number : 817-453-3970
Provider Business Practice Location Address
First Line : 2401 W PIONEER PKWY
Second Line : SUITE 145
City : PANTEGO
State : TX
Zip : 76013-6056
Country : US
Telephone Number : 817-453-3999
Fax Number : 817-453-3970
Authorized Official
Title or Position : OWNER
Name : GEORGE HAROLD BOBBITT JR.
Credential : D.C.
Telephone Number : 817-453-3999
Provider Enumeration Date : 10/19/2016
Last Update Date : 01/16/2017

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Directions to “ARLINGTON CHIROPRACTIC CENTER LLC ” Practice Location

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