Provider Demographics
NPI:1629193669
Name:TRAXLER CHIROPRACTIC PA.
Entity Type:Organization
Organization Name:TRAXLER CHIROPRACTIC PA.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAXLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-412-1150
Mailing Address - Street 1:8405 LAKEVIEW PKWY STE 202
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-4559
Mailing Address - Country:US
Mailing Address - Phone:972-412-1150
Mailing Address - Fax:972-412-1160
Practice Address - Street 1:8405 LAKEVIEW PKWY STE 202
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-4559
Practice Address - Country:US
Practice Address - Phone:972-412-1150
Practice Address - Fax:972-412-1160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9668111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00934VOtherMEDICARE GROUP
TX00934VOtherMEDICARE GROUP
TX8D4990Medicare PIN
TX8B2763Medicare PIN