MEDICARE: ARLINGTON INJURY CLINIC 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
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1598006405
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARLINGTON INJURY CLINIC LLC

Provider Business Mailing Address
First Line	:	3415 S COLLINS ST
Second Line	:	STE 105
City	:	ARLINGTON
State	:	TX
Zip	:	76014-3262
Country	:	US
Telephone Number	:	817-465-7246
Fax Number	:	817-400-5185

Provider Business Practice Location Address
First Line	:	3415 S COLLINS ST
Second Line	:	STE 105
City	:	ARLINGTON
State	:	TX
Zip	:	76014-3262
Country	:	US
Telephone Number	:	817-465-7246
Fax Number	:	817-400-5185

Authorized Official
Title or Position	:	OWNER
Name	:	NGAN T DO
Credential	:
Telephone Number	:	817-465-7246

Provider Enumeration Date	:	03/04/2013
Last Update Date	:	09/15/2014

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