Organization
CHERRY LANE CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MICHAEL SCOTT D.C. (OWNER)
(817) 560-1625
Entity
Organization
Contact information
Practice address
2603 S CHERRY LN, FORT WORTH, TX 76116-3919
(817) 560-1625
(817) 560-1627
Mailing address
2603 S CHERRY LN, FORT WORTH, TX 76116-3919
(817) 560-1625
(817) 560-1627
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC3062
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50ND
BLUE CROSS/BLUE SHIELD
TX
Enumeration date
11/07/2008
Last updated
11/07/2008
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