Provider Demographics
NPI:1073504387
Name:BAILEY, EMILY FAYE (DC)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:FAYE
Last Name:BAILEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2320 CHOCTAW DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-3937
Mailing Address - Country:US
Mailing Address - Phone:214-282-5374
Mailing Address - Fax:972-733-0666
Practice Address - Street 1:1304 VILLAGE CREEK DR
Practice Address - Street 2:STE. 400
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-4472
Practice Address - Country:US
Practice Address - Phone:214-282-5374
Practice Address - Fax:972-733-0666
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-04
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7902111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
1073504387OtherNPI
B1038271Medicare UPIN