Provider Demographics
NPI:1326005471
Name:DANA, ROBERT ALAN (DC)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:ALAN
Last Name:DANA
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 1:928 S HIGHWAY 377
Mailing Address - Street 2:SUITE 210
Mailing Address - City:AUBREY
Mailing Address - State:TX
Mailing Address - Zip Code:76227-5547
Mailing Address - Country:US
Mailing Address - Phone:469-766-3351
Mailing Address - Fax:
Practice Address - Street 1:928 S HIGHWAY 377
Practice Address - Street 2:SUITE 210
Practice Address - City:AUBREY
Practice Address - State:TX
Practice Address - Zip Code:76227-5547
Practice Address - Country:US
Practice Address - Phone:469-766-3351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2007-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC8778111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU51725Medicare UPIN
TX8F3097Medicare PIN