Meadow Crest Chiropractic Sports Rehab Clinic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC6838 Issued in TX

Legal business name

MEADOW CREST CHIROPRACTIC SPORTS REHAB CLINIC PLLC

Practice address

6709 Meadow Crest Dr
North Richland Hills, TX 76180-6669

Phone

(817) 581-5959

Fax

(817) 849-1011

NPI assigned

Jan 12, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Vaughn Anthony Brozek Jr., D.C.

Title

Managing Member

Phone

(817) 581-5959

Specialties & licenses 1

Addresses

Other names 1

• Davinci Sports and Rehab Group Doing business as

Locations

Practitioners 2

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

• Jacob John Fernandez, D.C.

  • Chiropractor
  • North Richland Hills, TX
  • NPI 1285961979
  NPD (past)
• Lance Christopher Miller, D.C.

  • Chiropractor
  • N Richland Hills, TX
  • NPI 1265771331
  NPD (past)

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1962772582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 821099",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761821099",
            "telephone_number": "817-581-5959",
            "fax_number": "817-849-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6709 MEADOW CREST DR",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761806669",
            "telephone_number": "817-581-5959",
            "fax_number": "817-849-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOW CREST CHIROPRACTIC SPORTS REHAB CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "BROZEK",
        "authorized_official_first_name": "VAUGHN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "817-581-5959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC6838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davinci Sports and Rehab Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles Michael McLendon, D.D.S.
• Allison McNeil
• Janice S McNeill, LPC
• Jeremy McSpadden, PT, DPT
• Michelle Elise McSpadden, DPT, PT
• Med Southwest, PLLC
• Med-Equip, Inc
• Meddive LLC
• Medic LLC
• Medical Clinic of North Texas, P.a.

• Chiropractor in North Richland Hills, TX
• Providers in North Richland Hills, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.