OrganizationActive
Mira Vista Chiropractic
NPI 1114118965 · Chiropractor · Fort Worth, TX
Provider details
- NPI number
- 1114118965
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- James Maitlen, Chiropractor / Owner(817) 292-2200
- License
- 10692 (TX)
Specialties & taxonomies
Chiropractic Providers
Practice location
6148 Bryant Irvin Rd
Fort Worth, TX 76132-4119
Phone: (817) 292-2200
Fax: (817) 292-2238
Approximate (ZIP-level) locationGet directions
Mailing address
6148 Bryant Irvin Rd
Fort Worth, TX 76132-4119
Registry dates
- Enumerated
- 2007-08-07
- Last updated
- 2007-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.