Provider Demographics
NPI:1235161522
Name:STANLEY, ROBIN-CHARLES A (DC)
Entity Type:Individual
Prefix:
First Name:ROBIN-CHARLES
Middle Name:A
Last Name:STANLEY
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:PO BOX 631813
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-0029
Mailing Address - Country:US
Mailing Address - Phone:214-358-3331
Mailing Address - Fax:214-358-3513
Practice Address - Street 1:3530 FOREST LN
Practice Address - Street 2:STE 50
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-7910
Practice Address - Country:US
Practice Address - Phone:214-358-3331
Practice Address - Fax:214-358-3513
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9879111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor