Provider Demographics
NPI:1174820377
Name:DE PAZ, MARGOT J (DC)
Entity Type:Individual
Prefix:
First Name:MARGOT
Middle Name:J
Last Name:DE PAZ
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 1:107 SUNCREEK DR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-2833
Mailing Address - Country:US
Mailing Address - Phone:214-215-4119
Mailing Address - Fax:214-383-5259
Practice Address - Street 1:107 SUNCREEK DR
Practice Address - Street 2:SUITE 400
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-2833
Practice Address - Country:US
Practice Address - Phone:214-215-4119
Practice Address - Fax:214-383-5259
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-24
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10871111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor