Provider Demographics
NPI:1295041887
Name:BARANOWSKI FAMILY CHIROPRACTIC PC
Entity Type:Organization
Organization Name:BARANOWSKI FAMILY CHIROPRACTIC PC
Other - Org Name:DR DEAN FAMILY CHIROPRACTIC PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BARANOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-258-8220
Mailing Address - Street 1:3100 N. O'CONNOR RD.
Mailing Address - Street 2:STE 110
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-8807
Mailing Address - Country:US
Mailing Address - Phone:972-285-6220
Mailing Address - Fax:
Practice Address - Street 1:3100 N O CONNOR RD
Practice Address - Street 2:STE 110
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-4406
Practice Address - Country:US
Practice Address - Phone:972-285-6220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-20
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX87951111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX611867Medicare PIN