Provider Demographics
NPI:1346403763
Name:MOLITOR, LUKE (DC)
Entity Type:Individual
Prefix:DR
First Name:LUKE
Middle Name:
Last Name:MOLITOR
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 1:5590 SPRING VALLEY RD
Mailing Address - Street 2:G202
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-3054
Mailing Address - Country:US
Mailing Address - Phone:469-878-5853
Mailing Address - Fax:
Practice Address - Street 1:5590 SPRING VALLEY RD
Practice Address - Street 2:G202
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-3054
Practice Address - Country:US
Practice Address - Phone:469-878-5853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-07
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10925111N00000X, 111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NN0400XChiropractic ProvidersChiropractorNeurology