Provider Demographics
NPI:1356327126
Name:LANCASTER, DIRAN AUSTIN (DC)
Entity Type:Individual
Prefix:MR
First Name:DIRAN
Middle Name:AUSTIN
Last Name:LANCASTER
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 1:207 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:TX
Mailing Address - Zip Code:76230-4840
Mailing Address - Country:US
Mailing Address - Phone:940-627-1791
Mailing Address - Fax:940-627-5725
Practice Address - Street 1:2306 S FM 51
Practice Address - Street 2:A
Practice Address - City:DECATUR
Practice Address - State:TX
Practice Address - Zip Code:76234-3765
Practice Address - Country:US
Practice Address - Phone:940-627-1791
Practice Address - Fax:940-627-5725
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC6307111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor