Back in Motion Integrated Medicine PLLC

Organization Active NPI General Practice Physician · Hurst, TX

NPI 1194357293 · NPPES record last updated Jun 3, 2020

Key facts

NPI
1194357293
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Physician 208D00000X
Legal business name
BACK IN MOTION INTEGRATED MEDICINE PLLC
Practice address
104 Grapevine Hwy Ste 400
Hurst, TX 76054-2438
Phone
(817) 458-2400
Fax
(817) 485-2475
NPI assigned
Feb 6, 2020
Organization subpart
No

Authorized official

Name
Michael Alan Ganschow
Title
Owner
Phone
(817) 764-2291

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208D00000X Yes

Addresses

Primary practice location

104 Grapevine Hwy Ste 400
Hurst, TX 76054-2438

Mailing address

PO Box 1066
Colleyville, TX 76034-1066
Phone (817) 485-2400

Other names

  • Back in Motion Integrated Medicine Doing business as

Other providers in Hurst, TX

All providers in Hurst, TX · General Practice Physician in Texas

Sources for this page

Verify at the official NPI Registry.