MEDICARE: BACK TO HEALTH FAMILY CHIROPRACTIC

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	9115	TX

General Provider Information

NPI Number	:	1548572910
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BACK TO HEALTH FAMILY CHIROPRACTIC

Provider Business Mailing Address
First Line	:	6324 CAMP BOWIE BLVD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76116-5418
Country	:	US
Telephone Number	:	817-810-9111
Fax Number	:	817-506-1809

Provider Business Practice Location Address
First Line	:	6324 CAMP BOWIE BLVD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76116-5418
Country	:	US
Telephone Number	:	817-810-9111
Fax Number	:	817-506-1809

Authorized Official
Title or Position	:	DOCTOR OF CHIROPRACTIC/PARTNER
Name	:	DR. STEPHEN CHRISTOPHER MICHLIN
Credential	:	D.C., B.C.A.O.
Telephone Number	:	817-810-9111

Provider Enumeration Date	:	07/13/2010
Last Update Date	:	03/27/2026

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