Provider Demographics
NPI:1528380789
Name:CHIROMED HEALTHCARE, P.A.
Entity Type:Organization
Organization Name:CHIROMED HEALTHCARE, P.A.
Other - Org Name:TRINITY INJURY & PAIN CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:214-515-9300
Mailing Address - Street 1:3821 ROSS AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-5245
Mailing Address - Country:US
Mailing Address - Phone:214-515-9300
Mailing Address - Fax:214-515-9302
Practice Address - Street 1:614 MATLOCK CENTRE CIR
Practice Address - Street 2:SUITE 608
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-2536
Practice Address - Country:US
Practice Address - Phone:214-515-9300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-15
Last Update Date:2010-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8788111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty