BACK IN MOTION INTEGRATED MEDICINE PLLC NPI 1194357293

NPI Information

  • NPI: 1194357293
  • Provider Name: BACK IN MOTION INTEGRATED MEDICINE PLLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Doing Business As: BACK IN MOTION INTEGRATED MEDICINE
  • Address: 104 GRAPEVINE HWY STE 400
    HURST, TX
    ZIP 76054
  • Phone: (817) 458-2400

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NPI Details

BACK IN MOTION INTEGRATED MEDICINE PLLC is a general practice in Hurst, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee BACK IN MOTION INTEGRATED MEDICINE PLLC NPI is 1194357293. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Back In Motion Integrated Medicine.

The provider's business location address is:

104 GRAPEVINE HWY STE 400
HURST, TX
ZIP 76054-438
Phone: (817) 458-2400
Fax: (817) 485-2475

The provider's authorized official is Michael Alan Ganschow .
The authorized official title is Owner and has the following contact phone number (817) 764-2291.

The enumeration date for this NPI number is 2/6/2020 and was last updated on 6/3/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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