Provider Demographics
NPI:1366484008
Name:DARR, DEAN A (DC)
Entity Type:Individual
Prefix:DR
First Name:DEAN
Middle Name:A
Last Name:DARR
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:PO BOX 385
Mailing Address - Street 2:
Mailing Address - City:LINDALE
Mailing Address - State:TX
Mailing Address - Zip Code:75771-0385
Mailing Address - Country:US
Mailing Address - Phone:903-881-2225
Mailing Address - Fax:903-881-9591
Practice Address - Street 1:105 E. HUBBARD ST.
Practice Address - Street 2:
Practice Address - City:LINDALE
Practice Address - State:TX
Practice Address - Zip Code:75771
Practice Address - Country:US
Practice Address - Phone:903-881-2225
Practice Address - Fax:903-881-9591
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3092111N00000X, 247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX601411Medicare PIN
TX6262820001Medicare NSC