TREE OF LIFE SPINE NPI 1073728424

NPI Information

NPI: 1073728424
Provider Name: TREE OF LIFE SPINE
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
309 S JUPITER RD STE 100
ALLEN, TX
ZIP 75002
Phone: (214) 547-7236
Get Directions

TREE OF LIFE SPINE is a chiropractor in Allen, TX. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. TREE OF LIFE SPINE NPI is 1073728424. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

309 S JUPITER RD STE 100
ALLEN, TX
ZIP 75002-052
Phone: (214) 547-7236

The provider's authorized official is Ken Wilson .
The authorized official title is Dc and has the following contact phone number (214) 547-7234.

The enumeration date for this NPI number is 5/11/2007 and was last updated on 10/29/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		9922	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	V06513	MEDICARE UPIN	TEXAS
2	611952	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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