MEDICARE: CRISTYAN MACIAS DC

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	16869	TX
2	2255A2300X	Athletic Trainer

General Provider Information

NPI Number	:	1598220675
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRISTYAN MACIAS DC

Provider Business Mailing Address
First Line	:	3550 S ROBINSON RD APT 6106
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75052-1349
Country	:	US
Telephone Number	:	575-993-4128
Fax Number	:

Provider Business Practice Location Address
First Line	:	3535 N BUCKNER BLVD STE 150
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75228-5876
Country	:	US
Telephone Number	:	575-993-4128
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2019
Last Update Date	:	06/05/2026

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Directions to “ CRISTYAN MACIAS DC” Practice Location

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