Provider Demographics
NPI:1497029250
Name:STANTON, BRYAN DEAN (DC)
Entity Type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:DEAN
Last Name:STANTON
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 1:5899 PRESTON RD STE 504
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-9590
Mailing Address - Country:US
Mailing Address - Phone:214-618-3991
Mailing Address - Fax:214-618-3993
Practice Address - Street 1:5899 PRESTON RD STE 504
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-9590
Practice Address - Country:US
Practice Address - Phone:214-618-3991
Practice Address - Fax:214-618-3993
Is Sole Proprietor?:No
Enumeration Date:2012-02-25
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11988111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor