Provider Demographics
NPI:1154506756
Name:DONNA M. KOBRIN, D.C. P.A
Entity Type:Organization
Organization Name:DONNA M. KOBRIN, D.C. P.A
Other - Org Name:CHIROPRACTIC WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:MOTT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-540-0608
Mailing Address - Street 1:7700 ELDORADO PKWY
Mailing Address - Street 2:STE 100
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-5654
Mailing Address - Country:US
Mailing Address - Phone:972-540-0608
Mailing Address - Fax:972-540-0716
Practice Address - Street 1:7700 ELDORADO PKWY
Practice Address - Street 2:STE 100
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-5654
Practice Address - Country:US
Practice Address - Phone:972-540-0608
Practice Address - Fax:972-540-0716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-02
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9758111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXV08356Medicare UPIN