Provider Demographics
NPI:1538560800
Name:PERRY FAMILY CHIROPRACTIC
Entity type:Organization
Organization Name:PERRY FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-815-4138
Mailing Address - Street 1:4801 SPRING VALLEY RD
Mailing Address - Street 2:SUITE 80
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75244-3956
Mailing Address - Country:US
Mailing Address - Phone:469-394-4779
Mailing Address - Fax:972-241-1936
Practice Address - Street 1:4801 SPRING VALLEY RD
Practice Address - Street 2:SUITE 80
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75244-3956
Practice Address - Country:US
Practice Address - Phone:469-394-4779
Practice Address - Fax:972-241-1936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-05
Last Update Date:2014-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12653111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty