Provider Demographics
NPI:1467674143
Name:CHRISTY, LANDON CRAIG (DC)
Entity Type:Individual
Prefix:DR
First Name:LANDON
Middle Name:CRAIG
Last Name:CHRISTY
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:PO BOX 700688
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78270-0688
Mailing Address - Country:US
Mailing Address - Phone:800-404-6050
Mailing Address - Fax:866-313-3397
Practice Address - Street 1:1805 HINKLE DR STE 150
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-1768
Practice Address - Country:US
Practice Address - Phone:972-922-1915
Practice Address - Fax:866-313-3397
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10317111NR0400X, 111N00000X, 111NS0005X, 111NR0400X
TN3106111N00000X, 111NR0400X, 111NS0005X
LA1413111N00000X, 111NR0400X, 111NS0005X
CA33619111NR0400X, 111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
No111N00000XChiropractic ProvidersChiropractor
No111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1413OtherCHIROPRACTIC LICENSE
TN3106OtherCHIROPRACTIC LICENSE
CA33619OtherCHIROPRACTIC LICENSE
TX10317OtherCHIROPRACTIC LICENSE