Provider Demographics
NPI:1346677887
Name:SUTTON CHIROPRACTIC AND NUTRITION
Entity Type:Organization
Organization Name:SUTTON CHIROPRACTIC AND NUTRITION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:LOCK
Authorized Official - Last Name:SUTTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:214-823-3390
Mailing Address - Street 1:7515 GREENVILLE AVE
Mailing Address - Street 2:SUITE 904
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231
Mailing Address - Country:US
Mailing Address - Phone:214-823-3390
Mailing Address - Fax:214-823-1035
Practice Address - Street 1:7515 GREENVILLE AVE
Practice Address - Street 2:SUITE 904
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231
Practice Address - Country:US
Practice Address - Phone:214-823-3390
Practice Address - Fax:214-823-1035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-30
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11669111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty