Provider Demographics
NPI:1225132434
Name:DUKES, JOHN NEIL (DC)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:NEIL
Last Name:DUKES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 WEST FM 544
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-4624
Mailing Address - Country:US
Mailing Address - Phone:972-578-2225
Mailing Address - Fax:972-578-2201
Practice Address - Street 1:517 W FM 544
Practice Address - Street 2:STE 200
Practice Address - City:MURPHY
Practice Address - State:TX
Practice Address - Zip Code:75094-4621
Practice Address - Country:US
Practice Address - Phone:972-578-2225
Practice Address - Fax:972-578-2201
Is Sole Proprietor?:No
Enumeration Date:2006-09-08
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10163111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F1978Medicare ID - Type Unspecified