Provider Demographics
NPI:1174263958
Name:HIGHLAND PARK CHIROCARE
Entity Type:Organization
Organization Name:HIGHLAND PARK CHIROCARE
Other - Org Name:HIGHLAND PARK CHIROCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-759-0077
Mailing Address - Street 1:6060 N CENTRAL EXPY STE 229
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-5248
Mailing Address - Country:US
Mailing Address - Phone:469-759-0077
Mailing Address - Fax:469-382-5840
Practice Address - Street 1:6060 N CENTRAL EXPY STE 229
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-5248
Practice Address - Country:US
Practice Address - Phone:469-759-0077
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-30
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty