Provider Demographics
NPI:1235267287
Name:MCKIRAHAN, DANA RAY (DC)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:RAY
Last Name:MCKIRAHAN
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 1:1122 SILVERIDGE
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-6715
Mailing Address - Country:US
Mailing Address - Phone:281-433-5589
Mailing Address - Fax:
Practice Address - Street 1:25301 I-45 NORTH
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380
Practice Address - Country:US
Practice Address - Phone:281-363-2182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6575111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX605154OtherBLUE CROSS
TX5832187OtherAETNA
TX5832187OtherAETNA
TX605154OtherBLUE CROSS