Organization
MARANATHA GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM MILROY D.C. (PRACTICING PHYSICIAN)
(214) 457-4676
Entity
Organization
Contact information
Practice address
7777 FOREST LN STE C534, DALLAS, TX 75230-6849
(972) 566-3355
Mailing address
705 ROYAL MINISTER DR, LEWISVILLE, TX 75056-6390
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
12507
TX
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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