Provider Demographics
NPI:1114224995
Name:BURNLEY, COLIN (DC)
Entity Type:Individual
Prefix:DR
First Name:COLIN
Middle Name:
Last Name:BURNLEY
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 1:2300 HIGHLAND VILLAGE RD STE 210
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-7191
Mailing Address - Country:US
Mailing Address - Phone:214-264-6072
Mailing Address - Fax:214-390-9950
Practice Address - Street 1:2300 HIGHLAND VILLAGE RD STE 210
Practice Address - Street 2:
Practice Address - City:HIGHLAND VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75077-7191
Practice Address - Country:US
Practice Address - Phone:214-264-6072
Practice Address - Fax:214-390-9950
Is Sole Proprietor?:No
Enumeration Date:2011-02-14
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11589111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor