Provider Demographics
NPI:1043785934
Name:TEX-CAL MEDICAL SERVICES, PLLC
Entity Type:Organization
Organization Name:TEX-CAL MEDICAL SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JANIAK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:817-423-2600
Mailing Address - Street 1:4528 W VICKERY BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76107-6263
Mailing Address - Country:US
Mailing Address - Phone:817-423-2600
Mailing Address - Fax:
Practice Address - Street 1:4528 W VICKERY BLVD STE 102
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76107-6263
Practice Address - Country:US
Practice Address - Phone:817-423-2600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-08
Last Update Date:2018-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty