NPI 1275304594 · live from the CMS NPI Registry
Ivan Acosta, DC
Chiropractor in Burleson, TX. National Provider Identifier 1275304594, active.
NPI record
| NPI | 1275304594 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 815 Sw Alsbury Blvd, Burleson, TX 76028 |
| Practice phone | 817-295-1999 |
| Mailing address | 817 Sw Alsbury Blvd, Burleson, TX 76028 |
| Enumerated | January 15, 2024 |
| Last updated | January 15, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 15709 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.