Provider Demographics
NPI:1144338732
Name:SANGALANG-RICHARD, MARY APRIL (DC, PTA)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:APRIL
Last Name:SANGALANG-RICHARD
Suffix:
Gender:F
Credentials:DC, PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3033 BELLA VISTA LN
Mailing Address - Street 2:
Mailing Address - City:LITTLE ELM
Mailing Address - State:TX
Mailing Address - Zip Code:75068-7839
Mailing Address - Country:US
Mailing Address - Phone:972-897-3552
Mailing Address - Fax:469-362-4731
Practice Address - Street 1:3033 BELLA VISTA LN
Practice Address - Street 2:
Practice Address - City:LITTLE ELM
Practice Address - State:TX
Practice Address - Zip Code:75068-7839
Practice Address - Country:US
Practice Address - Phone:972-897-3552
Practice Address - Fax:469-362-4731
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2008-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10250111N00000X
TX2042117225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant