Provider Demographics
NPI:1447594601
Name:ELLIOTT, JOSHUA BYRON (LAT, DC)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:BYRON
Last Name:ELLIOTT
Suffix:
Gender:M
Credentials:LAT, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13812 CORTES DE PALLAS DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ELM
Mailing Address - State:TX
Mailing Address - Zip Code:75068-1065
Mailing Address - Country:US
Mailing Address - Phone:713-471-4412
Mailing Address - Fax:
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
Practice Address - Country:US
Practice Address - Phone:713-471-4412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-12
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12156111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor