Provider Demographics
NPI:1417595166
Name:RISE FAMILY CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:RISE FAMILY CHIROPRACTIC, LLC
Other - Org Name:RISE FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ DC
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:228-257-6009
Mailing Address - Street 1:13150 SENLAC DR STE 160
Mailing Address - Street 2:
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75234-1238
Mailing Address - Country:US
Mailing Address - Phone:469-605-5016
Mailing Address - Fax:
Practice Address - Street 1:13150 SENLAC DR STE 160
Practice Address - Street 2:
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75234-1238
Practice Address - Country:US
Practice Address - Phone:469-605-5016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-12
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty