Healthsource of Mansfield Texas LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

HEALTHSOURCE OF MANSFIELD TEXAS LLC

Practice address

121 W Debbie LN
Suite 115
Mansfield, TX 76063-8941

Phone

(682) 518-9393

NPI assigned

Aug 25, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John DavisNPI 1235189010

Title

MD

Phone

(318) 614-2963

Specialties & licenses 1

Addresses

Practitioners 3

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

• John William Davis, DC

  • Chiropractor
  • West Monroe, LA
  • NPI 1235189010
  NPD (past) Authorized official
• Jason N Gross, D.C.

  • Chiropractor
  • Dallas, TX
  • NPI 1699988782
  NPD (past)
• Hong Tai Lee, D.C.

  • Chiropractor
  • Mansfield, TX
  • NPI 1598075707
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1932489697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W DEBBIE LN",
            "address_2": "SUITE 115",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638941",
            "telephone_number": "682-518-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W DEBBIE LN",
            "address_2": "SUITE 115",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638941",
            "telephone_number": "682-518-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE OF MANSFIELD TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-25",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "318-614-2963",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healing Hope Behavioral Clinic LLC
• Health Gardens Home Care LLC
• Health Imaging Partners, LLC
• Health Imaging Partners, LLC
• Healthsource of Mansfield Texas LLC
• Healthtexas Provider Network
• Healthtexas Provider Network
• Healthtexas Provider Network
• Healthy Body Chiropractic PLLC
• Healthy Body Integrative Medicine

• Chiropractor in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.