Provider Demographics
NPI:1083079891
Name:NYHAN, FREDERICK (DC)
Entity Type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:
Last Name:NYHAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1410 ADDINGTON ST
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-7429
Mailing Address - Country:US
Mailing Address - Phone:972-800-0037
Mailing Address - Fax:972-238-0456
Practice Address - Street 1:208 W SPRING VALLEY RD
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-4034
Practice Address - Country:US
Practice Address - Phone:972-238-1976
Practice Address - Fax:972-238-0456
Is Sole Proprietor?:No
Enumeration Date:2015-12-21
Last Update Date:2015-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13082111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor