Jack L Mikeworth D.C.

NPI 1003952847 - Chiropractor - 111N00000X

NPI Details
NPI 1003952847
Gender Male
Enumeration Date 01/29/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
FORT WORTH TX, 76104-6066, US
Phone (817) 926-4693
Fax (817) 920-9625
Business Location
ARLINGTON TX, 76015-3228, US
Phone (817) 557-9523
Fax (866) 807-8992
Taxonomy Code 111N00000X
License State Texas
License Number 5714
Remove 1003952847 NPI Number

According to our database, Dr. Jack L Mikeworth D.C. NPI is 1003952847, taxonomy code is 111N00000X and license number is 5714, license state is located at Texas. Jack L Mikeworth D.C. physically located at 2200 Evans Ave, Fort Worth TX, 76104-6066. NPI Number Jack L Mikeworth D.C. has the Individual type.

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1003952847 NPI number is provided on an as is basis without warranty of any kind. 1003952847 is maintained by the National Plan & Provider Enumeration System. The contents of Jack L Mikeworth D.C. are for informational purposes only.