Provider Demographics
NPI:1497821557
Name:FLEMING, DONALD JAY (DC)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:JAY
Last Name:FLEMING
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 1:5001 COLLEGE PARK DR
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:TX
Mailing Address - Zip Code:77536-6361
Mailing Address - Country:US
Mailing Address - Phone:281-479-9951
Mailing Address - Fax:281-479-3801
Practice Address - Street 1:5001 COLLEGE PARK DR
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:TX
Practice Address - Zip Code:77536-6361
Practice Address - Country:US
Practice Address - Phone:281-479-9951
Practice Address - Fax:281-479-3801
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6992111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX605514Medicare ID - Type Unspecified