Provider Demographics
NPI:1629237920
Name:STILL CHIROPRACTIC, PLLC
Entity Type:Organization
Organization Name:STILL CHIROPRACTIC, PLLC
Other - Org Name:STILL CHIROPRACTIC LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELENA
Authorized Official - Middle Name:M
Authorized Official - Last Name:STILL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:214-507-5446
Mailing Address - Street 1:2845 PARKWOOD BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-4574
Mailing Address - Country:US
Mailing Address - Phone:214-507-5446
Mailing Address - Fax:214-279-0738
Practice Address - Street 1:2845 PARKWOOD BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-4574
Practice Address - Country:US
Practice Address - Phone:214-507-5446
Practice Address - Fax:214-279-0738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-03
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10750111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty