Provider Demographics
NPI:1508352162
Name:OSAROLLOR, JANAIR (DC)
Entity Type:Individual
Prefix:DR
First Name:JANAIR
Middle Name:
Last Name:OSAROLLOR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1229 E PLEASANT RUN RD STE 322
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-4209
Mailing Address - Country:US
Mailing Address - Phone:469-471-8457
Mailing Address - Fax:
Practice Address - Street 1:1229 E PLEASANT RUN RD STE 322
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-4209
Practice Address - Country:US
Practice Address - Phone:469-471-8457
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-06
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13415111NP0017X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor
No111N00000XChiropractic ProvidersChiropractor