Provider Demographics
NPI:1497844930
Name:COLLUM, DAVID HULEN (DC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:HULEN
Last Name:COLLUM
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 1:2615 RUE DE VL
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-5674
Mailing Address - Country:US
Mailing Address - Phone:972-259-4878
Mailing Address - Fax:972-259-2968
Practice Address - Street 1:2615 RUE DE VL
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-5674
Practice Address - Country:US
Practice Address - Phone:972-259-4878
Practice Address - Fax:972-259-2968
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTX8238111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation