Provider Demographics
NPI:1225817505
Name:STANFORD, ARMON JAVON (DC)
Entity Type:Individual
Prefix:
First Name:ARMON
Middle Name:JAVON
Last Name:STANFORD
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 1:1717 E BELT LINE RD APT 1133
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-4241
Mailing Address - Country:US
Mailing Address - Phone:254-383-6035
Mailing Address - Fax:
Practice Address - Street 1:3000 SPRING VALLEY DR
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-4245
Practice Address - Country:US
Practice Address - Phone:682-325-4165
Practice Address - Fax:682-325-4192
Is Sole Proprietor?:No
Enumeration Date:2023-09-26
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15737111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation