NPI 1104244003 · live from the CMS NPI Registry
100 Percent Chiropractic Dallas One LLC
Chiropractor in Dallas, TX. National Provider Identifier 1104244003, active.
NPI record
| NPI | 1104244003 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 7324 Gaston Ave, Suite 118, Dallas, TX 75214 |
| Practice phone | 281-467-5381 |
| Mailing address | 7324 Gaston Ave # 118, Dallas, TX 75214 |
| Enumerated | March 29, 2014 |
| Last updated | May 13, 2015 |
| Authorized official | Michael Carr, DC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | 0007106 (CO) |
| Chiropractor primary | 111N00000X | 12011 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.