Provider Demographics
NPI:1366484875
Name:A K CHIROPRACTIC INC
Entity Type:Organization
Organization Name:A K CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:IOHANN
Authorized Official - Middle Name:F
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-403-1717
Mailing Address - Street 1:6300 STONEWOOD DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-5280
Mailing Address - Country:US
Mailing Address - Phone:972-403-1717
Mailing Address - Fax:866-833-6085
Practice Address - Street 1:6300 STONEWOOD DR.
Practice Address - Street 2:SUITE 110
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-5288
Practice Address - Country:US
Practice Address - Phone:972-403-1717
Practice Address - Fax:866-833-6085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8954111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU82293Medicare UPIN