Provider Demographics
NPI:1205007838
Name:SANVAN INC
Entity Type:Organization
Organization Name:SANVAN INC
Other - Org Name:KARE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:RENE
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-647-2400
Mailing Address - Street 1:2133 S GREAT SOUTHWEST PKWY
Mailing Address - Street 2:505
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75051-7417
Mailing Address - Country:US
Mailing Address - Phone:972-647-2400
Mailing Address - Fax:972-623-3400
Practice Address - Street 1:2133 S GREAT SOUTHWEST PKWY
Practice Address - Street 2:505
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75051-7417
Practice Address - Country:US
Practice Address - Phone:972-647-2400
Practice Address - Fax:972-623-3400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-24
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8992111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty