Provider Demographics
NPI:1386860336
Name:FIRST CHOICE CHIROPRACTIC
Entity Type:Organization
Organization Name:FIRST CHOICE CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBIN CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:STANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:214-358-3331
Mailing Address - Street 1:PO BOX 631813
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-0029
Mailing Address - Country:US
Mailing Address - Phone:214-358-3331
Mailing Address - Fax:214-358-3513
Practice Address - Street 1:11722 MARSH LN
Practice Address - Street 2:SUITE 326
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75229-2600
Practice Address - Country:US
Practice Address - Phone:214-358-3331
Practice Address - Fax:214-358-3513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9879111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0007MUOtherBCBS TX GROUP NUMBER