Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cody Mircovich

Individual provider Chiropractor · NPI 1962198911

Cody Mircovich is a Chiropractic in Prosper, Texas. Qualified in 2022, 4 years ago. Practices with Lifeclinic Chiropractic of Texas LLC, a 20-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
4
Licensed in
TX
In the registry since
2023
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Practice location Address checks out

1061 N Coleman St Ste 10
Prosper, TX 75078-2318
Phone: (469) 296-1049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 15527 (TX)

Record details

NPI number1962198911
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 13, 2023
Last updated in NPPESApril 13, 2023
Certification dateApril 13, 2023
Mailing address1061 N Coleman St Ste 10, Prosper, TX 75078-2318

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Lifeclinic Chiropractic Of Texas Llc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Prosper