CHIROPRACTIC AVENUE & PHYSICAL MEDICINE, P.A.
NPI 1619074697
Chiropractor in Garland, TX

Active since September 20, 2006
417 N GARLAND AVE, GARLAND, TX 75040(214) 703-0044(214) 703-0691 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chiropractic Avenue & Physical Medicine, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHIROPRACTIC AVENUE & PHYSICAL MEDICINE, P.A. (NPI 1619074697) is a healthcare organization registered as a chiropractor in Garland, Texas and active in the NPI registry since September 2006. The organization lists John Phung, President, as its authorized official.

NPPES Registry Identity

NPI1619074697
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCHIROPRACTIC AVENUE & PHYSICAL MEDICINE, P.A.
Location Address417 N GARLAND AVEGarland, TX 75040-5646
Mailing Address417 N Garland AveGarland, TX 75040-5646 · (214) 703-0044 · Fax (214) 703-0691
Fax(214) 703-0691
Organization SubpartNo
Authorized OfficialJohn PhungPresident · (214) 703-0044
Enumeration DateSeptember 20, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1619074697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in TX · 9764
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
417 N GARLAND AVE, Garland, TX 75040

Other Identifiers 1

Medicaid1762247TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
417 N GARLAND AVE
GARLAND, TX 75040
Dentist (General Practice)
417 N GARLAND AVE
GARLAND, TX 75040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chiropractic Avenue & Physical Medicine, P.A.'s NPI number?

The NPI number for Chiropractic Avenue & Physical Medicine, P.A. is 1619074697. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Chiropractic Avenue & Physical Medicine, P.A. located?

Chiropractic Avenue & Physical Medicine, P.A. is located at 417 N Garland Ave, Garland, TX 75040. The listed phone number is (214) 703-0044.

What is Chiropractic Avenue & Physical Medicine, P.A.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Chiropractic Avenue & Physical Medicine, P.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.