Provider Demographics
NPI:1629664461
Name:ZELLARS, JOE DON (DC)
Entity Type:Individual
Prefix:
First Name:JOE
Middle Name:DON
Last Name:ZELLARS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 W INTERURBAN ST STE B
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-2503
Mailing Address - Country:US
Mailing Address - Phone:972-463-9100
Mailing Address - Fax:
Practice Address - Street 1:108 W INTERURBAN ST STE B
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-2503
Practice Address - Country:US
Practice Address - Phone:972-463-9100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-16
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14405111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor