Provider Demographics
NPI:1285015180
Name:STOREY, PATRICK (DC)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:
Last Name:STOREY
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 1:11411 E NORTHWEST HWY
Mailing Address - Street 2:SUITE 107
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75218-1428
Mailing Address - Country:US
Mailing Address - Phone:214-343-2225
Mailing Address - Fax:214-343-2655
Practice Address - Street 1:11411 E NORTHWEST HWY
Practice Address - Street 2:SUITE 107
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75218-1428
Practice Address - Country:US
Practice Address - Phone:214-343-2225
Practice Address - Fax:214-343-2655
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-16
Last Update Date:2015-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12963111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation