Provider Demographics
NPI:1306856158
Name:SAVOY, BENJAMIN ANDREW (DC)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:ANDREW
Last Name:SAVOY
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 1:6434 E MOCKINGBIRD LN
Mailing Address - Street 2:SUITE 201
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75214-7000
Mailing Address - Country:US
Mailing Address - Phone:214-827-4444
Mailing Address - Fax:214-827-4445
Practice Address - Street 1:6434 E MOCKINGBIRD LN
Practice Address - Street 2:SUITE 201
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75214-7000
Practice Address - Country:US
Practice Address - Phone:214-827-4444
Practice Address - Fax:214-827-4445
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7884111N00000X
OK3694111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX17597OtherPARKLAND PCHP
TX176624801Medicaid
TX608152OtherBLUE CROSS BLUE SHIELD
TX608152OtherBLUE CROSS BLUE SHIELD
U73876Medicare UPIN