Provider Demographics
NPI:1093237158
Name:MONEY, BRENT DANIEL (DC)
Entity Type:Individual
Prefix:DR
First Name:BRENT
Middle Name:DANIEL
Last Name:MONEY
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 1:4300 CONGRESS AVE APT 104
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-2521
Mailing Address - Country:US
Mailing Address - Phone:989-390-5024
Mailing Address - Fax:
Practice Address - Street 1:2233 W 15TH ST
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075
Practice Address - Country:US
Practice Address - Phone:469-931-2226
Practice Address - Fax:469-931-2232
Is Sole Proprietor?:No
Enumeration Date:2017-07-11
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009878111N00000X
TX13543111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor