Provider Demographics
NPI:1407298946
Name:CARDON FAMILY CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:CARDON FAMILY CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:CARDON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:405-256-6806
Mailing Address - Street 1:1472 N MUSTANG RD STE 102
Mailing Address - Street 2:
Mailing Address - City:MUSTANG
Mailing Address - State:OK
Mailing Address - Zip Code:73064-7214
Mailing Address - Country:US
Mailing Address - Phone:405-256-6806
Mailing Address - Fax:
Practice Address - Street 1:1472 N MUSTANG RD STE 102
Practice Address - Street 2:
Practice Address - City:MUSTANG
Practice Address - State:OK
Practice Address - Zip Code:73064-7214
Practice Address - Country:US
Practice Address - Phone:405-256-6806
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-25
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4099261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care