Organization
REFORMED HOLDING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS M MANN (OWNER)
(214) 945-9666
Entity
Organization
Contact information
Practice address
4435 MCEWEN RD STE 200, DALLAS, TX 75244-5206
(214) 945-9666
(214) 988-3033
Mailing address
4435 MCEWEN RD STE 200, DALLAS, TX 75244-5206
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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