Provider Demographics
NPI:1144462136
Name:SNELL, DANA DOHERTY (DC, BA)
Entity type:Individual
Prefix:DR
First Name:DANA
Middle Name:DOHERTY
Last Name:SNELL
Suffix:
Gender:F
Credentials:DC, BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 CHEEK SPARGER RD
Mailing Address - Street 2:SUITE 124
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-3880
Mailing Address - Country:US
Mailing Address - Phone:817-428-2300
Mailing Address - Fax:
Practice Address - Street 1:1009 CHEEK SPARGER RD
Practice Address - Street 2:SUITE 124
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-3880
Practice Address - Country:US
Practice Address - Phone:817-428-2300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-06
Last Update Date:2013-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10973111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor