Organization · Type 2 NPI

Back In Motion Integrated Medicine PLLC

General Practice Physician · Hurst, TX

NPI number 1194357293 Active

Practice location

104 Grapevine Hwy Ste 400
Hurst, TX 76054-2438

Call (817) 458-2400 Map

Fax (817) 485-2475

Mailing address

PO Box 1066
Colleyville, TX 76034-1066

Specialties and licenses

Taxonomy	Code	License
General Practice Physician Primary	208D00000X	None listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

4 other providers at this address

Other general practice physician providers in Hurst

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NPI record

NPI: 1194357293
Entity type: Organization (Type 2)
Issued: Feb 6, 2020
Last updated: Jun 3, 2020
Status: Active

Other names

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Back In Motion Integrated Medicine · doing business as
Back In Motion Integrated Medicine · doing business as

Authorized official

Michael Alan Ganschow
Owner
(817) 764-2291

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1194357293

Back In Motion Integrated Medicine PLLC's National Provider Identifier is 1194357293, issued on Feb 6, 2020. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Hurst, TX. The record was last updated on Jun 3, 2020.