Provider Demographics
NPI:1184838658
Name:RON TRIBENDIS D.C. P.A.
Entity Type:Organization
Organization Name:RON TRIBENDIS D.C. P.A.
Other - Org Name:NORTH TEXAS PERFORMANCE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RON
Authorized Official - Middle Name:
Authorized Official - Last Name:TRIBENDIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-250-0300
Mailing Address - Street 1:3245 W MAIN ST STE 235-355
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-4411
Mailing Address - Country:US
Mailing Address - Phone:972-250-0300
Mailing Address - Fax:
Practice Address - Street 1:1304 VILLAGE CREEK DR STE 300
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-4457
Practice Address - Country:US
Practice Address - Phone:972-250-0300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9662111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXV02047Medicare UPIN