Provider Demographics
NPI:1902167000
Name:ADRIAN CHIROPRACTIC, P.C.
Entity Type:Organization
Organization Name:ADRIAN CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JANET
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:ADRIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-288-2225
Mailing Address - Street 1:323 S BRYAN BELT LINE RD
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-4663
Mailing Address - Country:US
Mailing Address - Phone:972-288-2225
Mailing Address - Fax:972-288-6311
Practice Address - Street 1:323 S BRYAN BELT LINE RD
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-4663
Practice Address - Country:US
Practice Address - Phone:972-288-2225
Practice Address - Fax:972-288-6311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-05
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6405111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty