| NPI | 1003821679 |
|---|---|
| Doing Business As | MED CENTRA |
| Entity Type | Organization |
| Authorized Contact | MICHAEL MANTAS President/Treating Doctor 214-637-3737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 9876) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 8197) |
| 111N00000X Chiropractor (Licence: TX 8046) | |
| 111N00000X Chiropractor (Licence: TX 7015) | |
| 111N00000X Chiropractor (Licence: TX 9851) | |
| 111N00000X Chiropractor (Licence: TX 9551) | |
| 111N00000X Chiropractor (Licence: TX 2592) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX E5382) | |
| 208D00000X General Practice (Licence: TX H3034) | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-22 |