Provider Demographics
NPI:1073637302
Name:MINSHEW-SHURR HEALTHCARE GROUP P A
Entity Type:Organization
Organization Name:MINSHEW-SHURR HEALTHCARE GROUP P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JANIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:MINSHEW-SHURR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-701-9696
Mailing Address - Street 1:14180 DALLAS PKWY
Mailing Address - Street 2:SUITE 520
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-4341
Mailing Address - Country:US
Mailing Address - Phone:972-701-9696
Mailing Address - Fax:972-701-9797
Practice Address - Street 1:14180 DALLAS PKWY
Practice Address - Street 2:SUITE 520
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-4341
Practice Address - Country:US
Practice Address - Phone:972-701-9696
Practice Address - Fax:972-701-9797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9402111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F0563Medicare ID - Type Unspecified
TXT52283Medicare UPIN