Provider Demographics
NPI:1245397579
Name:PARENT, LARRY (DC)
Entity Type:Individual
Prefix:DR
First Name:LARRY
Middle Name:
Last Name:PARENT
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 1:10677 E NORTHWEST HWY STE 100
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75238-4899
Mailing Address - Country:US
Mailing Address - Phone:214-328-2225
Mailing Address - Fax:214-328-2227
Practice Address - Street 1:718 N BUCKNER BLVD STE 100
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75218-2764
Practice Address - Country:US
Practice Address - Phone:214-324-8988
Practice Address - Fax:214-328-1381
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6098111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor