Provider Demographics
NPI:1407956295
Name:CRUTCHFIELD, JAMES JULIAN (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:JULIAN
Last Name:CRUTCHFIELD
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 1:8568 WARREN PKWY
Mailing Address - Street 2:# 1138
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-7025
Mailing Address - Country:US
Mailing Address - Phone:469-685-4479
Mailing Address - Fax:
Practice Address - Street 1:7125 MARVIN D LOVE FWY STE 107
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237-3111
Practice Address - Country:US
Practice Address - Phone:972-572-5000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6656111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX608053OtherBLUE CROSS BLUE SHIELD