Provider Demographics
NPI:1235429887
Name:BRILLIANT, JOSEPH EDWARD (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:EDWARD
Last Name:BRILLIANT
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 1:6988 LEBANON RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-6735
Mailing Address - Country:US
Mailing Address - Phone:214-446-5300
Mailing Address - Fax:214-446-5304
Practice Address - Street 1:6988 LEBANON RD
Practice Address - Street 2:SUITE 101
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-6735
Practice Address - Country:US
Practice Address - Phone:214-446-5300
Practice Address - Fax:214-446-5304
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-17
Last Update Date:2017-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12228111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor