DR. MICHAEL CLARK POLSON (NPI# 1538384532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538384532 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL CLARK POLSON |
| Credential | D.C. |
| Practice Address |
1750 Broad Park Circle South Ste 302 Mansfield TX 76063 |
| Practice Telephone | 8174731849 |
| Practice Fax Number | 8174736016 |
| Mailing Telephone | 8174731849 |
| Mailing Fax Number | 8174736016 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2010-01-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4024 | TX | Chiropractic Providers |
| Street Address |
1750 BROAD PARK CIRCLE SOUTH STE 302 |
| City | MANSFIELD |
| State | TX |
| Zip Code | 76063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
| 1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
| 1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
| 1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
| 1649802232 | Mary Puanani Kamai | Nurse Practitioner | 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 | 2020-02-11 |
| 1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
| 1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
| 1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
| 1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
| 1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
| Find all providers in zip 76063 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871119883 | Skylar Dian Camacho | Chiropractor | 1560 E Debbie Ln, Mansfield, TX 76063-8574 | 2020-06-25 |
| 1871067124 | Wicked Good Chiropractic & Wellness Group, PC | Chiropractor | 77 West St Ste A, Mansfield, MA 02048-2403 | 2019-01-18 |
| 1154892883 | Lifeforge, Pllc | Chiropractor | 408 S Main St Ste B, Mansfield, TX 76063-3183 | 2018-12-06 |
| 1659801108 | Kelsey Smith | Chiropractor | 2300 Matlock Rd Ste 4, Mansfield, TX 76063-5018 | 2017-06-18 |
| 1043750037 | Emily Puente | Chiropractor | 1475 Heritage Pkwy Ste 325, Mansfield, TX 76063-2736 | 2017-02-24 |
| 1972048106 | Julie Shaffer | Chiropractor | 812 Twin Creek Dr, Mansfield, TX 76063-2840 | 2016-12-26 |
| 1578977559 | Nicholas T Jackson | Chiropractor | 99 Regency Pkwy Ste 211, Mansfield, TX 76063-7819 | 2014-06-17 |
| 1457786329 | Stephen James Berndt | Chiropractor | 1229 Concho Trl, Mansfield, TX 76063-5768 | 2013-09-10 |
| 1043567761 | Ashley Nicole Carr | Chiropractor | 305 Regency Pkwy Ste 801, Mansfield, TX 76063-3794 | 2012-08-13 |
| 1972880854 | Olar Family Chiropractic, Inc | Chiropractor | 1115a Lexington Ave, Mansfield, OH 44907-2251 | 2011-11-07 |
| Find all providers in MANSFIELD | ||||
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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.