Provider Demographics
NPI:1326225889
Name:CHRISMAN, TIMOTHY MARTIN (DC)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:MARTIN
Last Name:CHRISMAN
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 1:4228 N CENTRAL EXPY
Mailing Address - Street 2:STE. 104
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-6548
Mailing Address - Country:US
Mailing Address - Phone:214-476-8004
Mailing Address - Fax:214-824-5792
Practice Address - Street 1:4228 N CENTRAL EXPY
Practice Address - Street 2:STE. 104
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-6548
Practice Address - Country:US
Practice Address - Phone:214-476-8004
Practice Address - Fax:214-824-5792
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-28
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10258111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition