NPI 1043630072 · live from the CMS NPI Registry
Accident & Injury Chiropractic
Chiropractor in Mesquite, TX. National Provider Identifier 1043630072, active.
NPI record
| NPI | 1043630072 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 1515 N Town East Blvd, Mesquite, TX 75150 |
| Practice phone | 972-279-7246 |
| Mailing address | 200 Wynnewood Village, Dallas, TX 75224 |
| Enumerated | April 17, 2014 |
| Last updated | April 17, 2014 |
| Authorized official | Vaniecea Duncan, Clinic Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 12386 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.