Provider Demographics
NPI:1558078907
Name:TEXAS CHIROPRACTIC ORTHOPEDICS AND REHAB PLLC
Entity type:Organization
Organization Name:TEXAS CHIROPRACTIC ORTHOPEDICS AND REHAB PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUTHORIZED OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:KALE
Authorized Official - Last Name:ALLISON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:806-778-4768
Mailing Address - Street 1:762 SPURLOCK ST
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75036-9260
Mailing Address - Country:US
Mailing Address - Phone:806-778-4768
Mailing Address - Fax:
Practice Address - Street 1:4851 LEGACY DR STE 307
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-0853
Practice Address - Country:US
Practice Address - Phone:972-337-3909
Practice Address - Fax:972-337-4061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-03
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty