| Michael Ganschow | |
|
104 Grapevine Hwy Ste 400, Hurst, TX 76054-2438 | |
| (817) 485-2400 | |
| Not Available |
| Full Name | Michael Ganschow |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 104 Grapevine Hwy Ste 400, Hurst, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114316874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 8687 (Texas) | Primary |
| Provider Name | Michael A. Ganschow |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1942255500 PECOS PAC ID: 3971689019 Enrollment ID: I20080328000622 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Ganschow Po Box 1066, Colleyville, TX 76034-1066 Ph: (817) 485-2400 | Michael Ganschow 104 Grapevine Hwy Ste 400, Hurst, TX 76054-2438 Ph: (817) 485-2400 |
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