Provider Demographics
NPI:1891824850
Name:MEYER CHIROPRACTIC CENTER PC
Entity Type:Organization
Organization Name:MEYER CHIROPRACTIC CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:817-468-7246
Mailing Address - Street 1:5520 S COOPER ST
Mailing Address - Street 2:111
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-4404
Mailing Address - Country:US
Mailing Address - Phone:817-468-7246
Mailing Address - Fax:817-467-4878
Practice Address - Street 1:5520 S COOPER ST
Practice Address - Street 2:111
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-4404
Practice Address - Country:US
Practice Address - Phone:817-468-7246
Practice Address - Fax:817-467-4878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4165111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX601538Medicare PIN
TXT14808Medicare UPIN