Provider Demographics
NPI:1144376526
Name:DUNAGAN, SHARON LYNN (DC)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:LYNN
Last Name:DUNAGAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2940 BROADWAY BLVD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75041-3776
Mailing Address - Country:US
Mailing Address - Phone:972-644-4744
Mailing Address - Fax:972-644-4009
Practice Address - Street 1:2940 BROADWAY BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75041-3776
Practice Address - Country:US
Practice Address - Phone:972-644-4744
Practice Address - Fax:972-644-4009
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6208111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX603958Medicare PIN
U44989Medicare UPIN