Provider Demographics
NPI:1013017649
Name:ADAMS, CURTIS LEE (FNP,DC)
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:LEE
Last Name:ADAMS
Suffix:
Gender:M
Credentials:FNP,DC
Other - Prefix:DR
Other - First Name:CURTIS
Other - Middle Name:
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:660 PRESTON FOREST CENTER
Mailing Address - Street 2:SUITE 426
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230
Mailing Address - Country:US
Mailing Address - Phone:214-507-2831
Mailing Address - Fax:
Practice Address - Street 1:11615 FOREST CENTRAL DR STE 214
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-3910
Practice Address - Country:US
Practice Address - Phone:214-507-2831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC 4872111N00000X
TX793295363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No111N00000XChiropractic ProvidersChiropractor