Provider Demographics
NPI:1639301195
Name:ADVANTAGE CHIRO
Entity Type:Organization
Organization Name:ADVANTAGE CHIRO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER/ DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:214-274-3893
Mailing Address - Street 1:1151 PEAVY RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75218
Mailing Address - Country:US
Mailing Address - Phone:214-321-1298
Mailing Address - Fax:214-321-1233
Practice Address - Street 1:1151 PEAVY RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75218-2933
Practice Address - Country:US
Practice Address - Phone:214-321-1298
Practice Address - Fax:214-321-1233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-18
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty