Provider Demographics
NPI:1407249618
Name:SALVO CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:SALVO CHIROPRACTIC LLC
Other - Org Name:PRESTON TRAIL SPORTS AND FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:SALVO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:940-391-8237
Mailing Address - Street 1:17742 PRESTON RD
Mailing Address - Street 2:150
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252-6199
Mailing Address - Country:US
Mailing Address - Phone:972-596-2273
Mailing Address - Fax:866-611-5641
Practice Address - Street 1:17742 PRESTON RD
Practice Address - Street 2:150
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-6199
Practice Address - Country:US
Practice Address - Phone:972-596-2273
Practice Address - Fax:866-611-5641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-12
Last Update Date:2015-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty