Provider Demographics
NPI:1396416079
Name:WALDROP, DAVID A (DC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:A
Last Name:WALDROP
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 1:580 HIGHWAY 377 N
Mailing Address - Street 2:
Mailing Address - City:WHITESBORO
Mailing Address - State:TX
Mailing Address - Zip Code:76273-7450
Mailing Address - Country:US
Mailing Address - Phone:903-546-9815
Mailing Address - Fax:903-564-7891
Practice Address - Street 1:580 HIGHWAY 377 N
Practice Address - Street 2:
Practice Address - City:WHITESBORO
Practice Address - State:TX
Practice Address - Zip Code:76273-7450
Practice Address - Country:US
Practice Address - Phone:903-546-9815
Practice Address - Fax:903-564-7891
Is Sole Proprietor?:No
Enumeration Date:2021-09-23
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14896111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor