Provider Demographics
NPI:1417546508
Name:CROSS, PAUL DAVID (DC)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:DAVID
Last Name:CROSS
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 1:7500 STONEBROOK PKWY STE 103
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-5378
Mailing Address - Country:US
Mailing Address - Phone:972-377-7117
Mailing Address - Fax:972-377-7118
Practice Address - Street 1:7500 STONEBROOK PKWY STE 103
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-5378
Practice Address - Country:US
Practice Address - Phone:972-377-7117
Practice Address - Fax:972-377-7118
Is Sole Proprietor?:No
Enumeration Date:2021-01-13
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14598111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor