# REFORMED HOLDING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922573138
- **Authorized official:** TRAVIS M MANN (OWNER)
- **Authorized official phone:** (214) 945-9666

## Contact information

- **Practice address:** 4435 MCEWEN RD STE 200, DALLAS, TX 75244-5206
- **Practice address phone:** (214) 945-9666
- **Practice address fax:** (214) 988-3033
- **Mailing address:** 4435 MCEWEN RD STE 200, DALLAS, TX 75244-5206

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/04/2018
- **Last updated:** 10/04/2018