Provider Demographics
NPI:1629253265
Name:VILLINES CHIROPRACTIC, P.C.
Entity Type:Organization
Organization Name:VILLINES CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FLOYD
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:VILLINES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-424-4266
Mailing Address - Street 1:2200 LOS RIOS BLVD
Mailing Address - Street 2:SUITE 127
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-3400
Mailing Address - Country:US
Mailing Address - Phone:972-424-4266
Mailing Address - Fax:972-424-4268
Practice Address - Street 1:2200 LOS RIOS BLVD
Practice Address - Street 2:SUITE 127
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-3400
Practice Address - Country:US
Practice Address - Phone:972-424-4266
Practice Address - Fax:972-424-4268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-02
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6497111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty