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Organization
MIRA VISTA CHIROPRACTIC
Active
Organization
MIRA VISTA CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES MATTHEW MAITLEN D.C. (CHIROPRACTOR / OWNER)
(817) 292-2200
Entity
Organization
Contact information
Practice address
6148 BRYANT IRVIN RD, FORT WORTH, TX 76132-4119
(817) 292-2200
(817) 292-2238
Mailing address
6148 BRYANT IRVIN RD, FORT WORTH, TX 76132-4119
(817) 292-2200
(817) 292-2238
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10692
TX
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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