RENEWED EAGLE CHIROPRACTIC NPI 1275040115

NPI Information

  • NPI: 1275040115
  • Provider Name: RENEWED EAGLE CHIROPRACTIC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 3500 WILLIAM D TATE AVE STE 175
    GRAPEVINE, TX
    ZIP 76051
  • Phone: (817) 421-4775

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NPI Details

RENEWED EAGLE CHIROPRACTIC is a clinic center in Grapevine, TX. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). RENEWED EAGLE CHIROPRACTIC NPI is 1275040115. The provider is registered as an organization entity type.

The provider's business location address is:

3500 WILLIAM D TATE AVE STE 175
GRAPEVINE, TX
ZIP 76051-749
Phone: (817) 421-4775

The provider's authorized official is Natalie Marie Moore .
The authorized official title is Business Owner/chiropractor and has the following contact phone number (817) 688-8999.

The enumeration date for this NPI number is 12/31/2017 and was last updated on 12/31/2017.

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
1261Q00000XClinic/Center13549TEXASYes

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: 11/21/2025

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