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DR. BRIAN MULHALL PA NPI 1841389293


NPI Information

NPI: 1841389293
Provider Name: DR. BRIAN MULHALL, PA

Doing Business As: ACTIVE SPINE & SPORT THERAPY

Classification: Chiropractor - 111NS0005X
Entity Type: Organization

Specialization: Sports Physician

Address:
3600 HULEN ST
STE A4
FORT WORTH, TX
ZIP 76107
Phone: (817) 332-5353
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DR. BRIAN MULHALL, PA is a sports physician chiropractor in Fort Worth, TX. The provider is a sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. DR. BRIAN MULHALL, PA NPI is 1841389293. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Active Spine & Sport Therapy.

The provider's business location address is:

3600 HULEN ST
STE A4
FORT WORTH, TX
ZIP 76107-863
Phone: (817) 332-5353
Fax: (817) 332-5358

The provider's authorized official is Brian C Mulhall .
The authorized official title is Owner/president and has the following contact phone number (817) 332-5353.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 12/29/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111NS0005XChiropractorSports Physician10037TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18F0390MEDICARE ID-TYPE UNSPECIFIEDTEXAS
2B1048450MEDICARE UPINTEXAS

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.