Provider Demographics
NPI:1073771168
Name:KT'S GENTLE CARE CHIROPRACTIC, P. C.
Entity Type:Organization
Organization Name:KT'S GENTLE CARE CHIROPRACTIC, P. C.
Other - Org Name:GENTLE CARE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KELVIN
Authorized Official - Middle Name:TOAN
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-494-3487
Mailing Address - Street 1:10544 WALNUT ST
Mailing Address - Street 2:#101
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-5308
Mailing Address - Country:US
Mailing Address - Phone:972-494-3487
Mailing Address - Fax:
Practice Address - Street 1:10544 WALNUT ST
Practice Address - Street 2:#101
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-5308
Practice Address - Country:US
Practice Address - Phone:972-494-3487
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-27
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9388111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty