Provider Demographics
NPI:1508569377
Name:FUN, JOY TEIXEIRA-LIMA (DC)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:TEIXEIRA-LIMA
Last Name:FUN
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 1:4625 COIT RD STE 220
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-4927
Mailing Address - Country:US
Mailing Address - Phone:214-872-2442
Mailing Address - Fax:
Practice Address - Street 1:4625 COIT RD STE 220
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-4927
Practice Address - Country:US
Practice Address - Phone:214-872-2442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-22
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15542111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor