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ETHOS REGENERATIVE MEDICAL GROUP PLLC NPI 1306016282


NPI Information

NPI: 1306016282
Provider Name: ETHOS REGENERATIVE MEDICAL GROUP PLLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
300 E. ROYAL LN
SUITE 110
IRVING, TX
ZIP 75039
Phone: (972) 409-0016
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ETHOS REGENERATIVE MEDICAL GROUP PLLC is a chiropractor in Irving, TX. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. ETHOS REGENERATIVE MEDICAL GROUP PLLC NPI is 1306016282. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

300 E. ROYAL LN
SUITE 110
IRVING, TX
ZIP 75039
Phone: (972) 409-0016
Fax: (972) 409-0013

The provider's authorized official is Jason Cory Black .
The authorized official title is Owner and has the following contact phone number (972) 409-0016.

The enumeration date for this NPI number is 3/6/2008 and was last updated on 5/20/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor8277TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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