Provider Demographics
NPI:1427388008
Name:MIA KAY MEYER
Entity Type:Organization
Organization Name:MIA KAY MEYER
Other - Org Name:AAA CHRIO & REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:817-877-5353
Mailing Address - Street 1:PO BOX 150777
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76108-0777
Mailing Address - Country:US
Mailing Address - Phone:817-877-5353
Mailing Address - Fax:817-877-5357
Practice Address - Street 1:903 SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76102-3421
Practice Address - Country:US
Practice Address - Phone:817-877-5353
Practice Address - Fax:817-877-5357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-05
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11340111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty