Provider Demographics
NPI:1538905955
Name:HENEGAR, SABRENA RENE (DC)
Entity type:Individual
Prefix:DR
First Name:SABRENA
Middle Name:RENE
Last Name:HENEGAR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 STONE HINGE DR
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75069-1939
Mailing Address - Country:US
Mailing Address - Phone:214-957-7245
Mailing Address - Fax:
Practice Address - Street 1:7475 LAS COLINAS BLVD
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-7583
Practice Address - Country:US
Practice Address - Phone:214-957-7245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-04
Last Update Date:2024-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11619424111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor