Provider Demographics
NPI:1649827536
Name:EPIC CHIROPRACTIC SOLUTIONS PLLC
Entity type:Organization
Organization Name:EPIC CHIROPRACTIC SOLUTIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARCIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRUNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:870-718-3576
Mailing Address - Street 1:600 SIX FLAGS DRIVE
Mailing Address - Street 2:CENTER POINT THREE, SUITE 442
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76011
Mailing Address - Country:US
Mailing Address - Phone:817-642-7234
Mailing Address - Fax:
Practice Address - Street 1:600 SIX FLAGS DRIVE
Practice Address - Street 2:CENTER POINT THREE, SUITE 442
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011
Practice Address - Country:US
Practice Address - Phone:817-642-7234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-25
Last Update Date:2019-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty