Provider Demographics
NPI:1730585613
Name:MCGARRAH CHIROPRACTIC CENTER, P.C.
Entity type:Organization
Organization Name:MCGARRAH CHIROPRACTIC CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:MCGARRAH
Authorized Official - Suffix:
Authorized Official - Credentials:DC, FACO
Authorized Official - Phone:817-283-5333
Mailing Address - Street 1:3004 HIGHWAY 121
Mailing Address - Street 2:SUITE A
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021-4088
Mailing Address - Country:US
Mailing Address - Phone:817-283-5333
Mailing Address - Fax:817-571-9756
Practice Address - Street 1:3004 HIGHWAY 121
Practice Address - Street 2:SUITE A
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-4088
Practice Address - Country:US
Practice Address - Phone:817-283-5333
Practice Address - Fax:817-571-9756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-05
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4131261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT14724Medicare UPIN