Provider Demographics
NPI:1316383037
Name:MAREK, SHAUN JAMES (DC)
Entity Type:Individual
Prefix:DR
First Name:SHAUN
Middle Name:JAMES
Last Name:MAREK
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 1:10650 STEPPINGTON DR APT 104
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-4636
Mailing Address - Country:US
Mailing Address - Phone:608-695-0686
Mailing Address - Fax:
Practice Address - Street 1:4777 VISTA WOODS BLVD STE 180
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75232-1353
Practice Address - Country:US
Practice Address - Phone:972-780-8300
Practice Address - Fax:972-780-6186
Is Sole Proprietor?:No
Enumeration Date:2013-05-21
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12537111N00000X, 111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
No111N00000XChiropractic ProvidersChiropractor