Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Cody Mircovich

Individual provider Chiropractor · NPI 1962198911

Cody Mircovich is registered under 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

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

Colleagues at Lifeclinic Chiropractic of Texas LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 20 clinicians in the practice; 12 are shown here.

Other providers in Prosper