BACK IN MOTION INTEGRATED MEDICINE PLLC (NPI# 1194357293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194357293 |
| Entity Type | Organization |
| Organization Name | BACK IN MOTION INTEGRATED MEDICINE PLLC |
| Other Organization Name | BACK IN MOTION INTEGRATED MEDICINE |
| Practice Address |
104 Grapevine Hwy Ste 400 Hurst TX 76054-2438 |
| Mailing Address |
Po Box 1066 Colleyville TX 76034-1066 |
| Practice Telephone | 8174582400 |
| Practice Fax Number | 8174852475 |
| Mailing Telephone | 8174852400 |
| Mailing Fax Number | 8174582475 |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-06-03 |
| Authorized Official Name | MICHAEL ALAN GANSCHOW (OWNER) |
| Authorized Official Telephone | 8177642291 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Back in Motion Integrated Medicine | Doing Business As Name - Organization |
| Street Address |
104 GRAPEVINE HWY STE 400 |
| City | HURST |
| State | TX |
| Zip Code | 76054-2438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942255500 | Michael Ganschow | Chiropractor | 104 Grapevine Hwy Ste 400, Hurst, TX 76054-2437 | 2006-05-23 |
| 1831660414 | Sukjai A Choi | Chiropractor | 104 Grapevine Hwy Ste 400, Hurst, TX 76054-2438 | 2018-12-08 |
| 1083151450 | Chad Daniels | Chiropractor | 104 Grapevine Hwy Ste 400, Hurst, TX 76054-2438 | 2017-01-24 |
| 1114316874 | Back In Motion Family Chiropractic | Chiropractor | 104 Grapevine Hwy Ste 400, Hurst, TX 76054-2438 | 2015-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942856224 | Nancy Lopez | Speech-Language Pathologist | 6168 Bentridge Rd, Hurst, TX 76054 | 2019-08-13 |
| 1942771134 | James L Thomason Md | Psychiatry & Neurology | 769 Lonesome Dove Trail, Hurst, TX 76054 | 2018-12-16 |
| 1114498672 | Alpha Hyperbarics Pllc | Preventive Medicine | 1845 Precinct Line Road, Ste 105, Hurst, TX 76054 | 2018-12-10 |
| 1922555234 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 809 W Harwood Rd Ste 103, Hurst, TX 76054 | 2016-09-02 |
| 1427422765 | Stephen Craig Sims | Dentist | 1725 Cimarron Trail, Suite 1, Hurst, TX 76054 | 2015-11-24 |
| 1629464342 | Meredith Drake | Pediatrics | 731 Martin Road, Hurst, TX 76054 | 2015-04-09 |
| 1104236454 | Jessica Shepard,ma,lpc | Counselor | 1817 Harwood Court, Hurst, TX 76054 | 2014-05-07 |
| 1801225016 | Hearing Essentials of Texas, Inc. | Clinic/Center | 672 Grapevine Hwy, Hurst, TX 76054 | 2013-11-07 |
| 1265787337 | Sarah Michele Talbott | Optometrist | 2817 Hurstview Dr., Hurst, TX 76054 | 2012-07-16 |
| 1174801617 | Robert Harry Levy | Dentist | 828 Harwood Rd, Tarrant County College Dental Hygiene Program, Hurst, TX 76054 | 2011-08-02 |
| Find all providers in zip 76054 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770052136 | Brian Rogers, Do | General Practice | 809 W Harwood Rd Ste 202, Hurst, TX 76054-6233 | 2018-11-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.