Provider Demographics
NPI:1306412275
Name:JOINT PAIN SPECIALISTS
Entity Type:Organization
Organization Name:JOINT PAIN SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MILROY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:214-457-4676
Mailing Address - Street 1:705 ROYAL MINISTER BLVD
Mailing Address - Street 2:
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-6390
Mailing Address - Country:US
Mailing Address - Phone:214-457-4676
Mailing Address - Fax:
Practice Address - Street 1:6201 SUNSET DR STE 670
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76116-5547
Practice Address - Country:US
Practice Address - Phone:214-457-4676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-01
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Multi-Specialty