Provider Demographics
NPI:1083877716
Name:HARDESTY, CURTIS MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:MICHAEL
Last Name:HARDESTY
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 1:4908 WAMPLER DR
Mailing Address - Street 2:
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-1013
Mailing Address - Country:US
Mailing Address - Phone:214-546-9109
Mailing Address - Fax:214-483-9091
Practice Address - Street 1:4908 WAMPLER DR
Practice Address - Street 2:
Practice Address - City:THE COLONY
Practice Address - State:TX
Practice Address - Zip Code:75056-1013
Practice Address - Country:US
Practice Address - Phone:214-546-9109
Practice Address - Fax:214-483-9091
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-02
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7293111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor