Provider Demographics
NPI:1740726280
Name:RESOLUTE FAMILY CHIROPRACTIC LLC
Entity type:Organization
Organization Name:RESOLUTE FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPHENS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:817-754-6639
Mailing Address - Street 1:295 SOUTHWEST PLZ
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76016-4455
Mailing Address - Country:US
Mailing Address - Phone:817-754-6639
Mailing Address - Fax:817-987-6229
Practice Address - Street 1:295 SOUTHWEST PLZ
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76016-4455
Practice Address - Country:US
Practice Address - Phone:817-754-6639
Practice Address - Fax:817-987-6229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-09
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13361111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty