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NPI Code Detail

MEDICARE: ALIGN MY SPINE PLLC

MEDICARE: ALIGN MY SPINE PLLC
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
1111N00000XChiropractor11800TX

General Provider Information

NPI Number : 1609285766
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALIGN MY SPINE PLLC
Provider Business Mailing Address
First Line : 10345 ALTA VISTA RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-6501
Country : US
Telephone Number : 817-710-5821
Fax Number : 817-984-3955
Provider Business Practice Location Address
First Line : 10345 ALTA VISTA RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-6501
Country : US
Telephone Number : 817-710-5821
Fax Number : 817-984-3955
Authorized Official
Title or Position : OWNER
Name : DR. RACHEL MOORE
Credential : D.C.
Telephone Number : 254-716-0750
Provider Enumeration Date : 08/03/2014
Last Update Date : 09/13/2016

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Directions to “ALIGN MY SPINE PLLC ” Practice Location

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