Provider Demographics
NPI:1639621055
Name:HERRON, RIANNE (DC)
Entity Type:Individual
Prefix:MISS
First Name:RIANNE
Middle Name:
Last Name:HERRON
Suffix:
Gender:F
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:PO BOX 1439
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-1439
Mailing Address - Country:US
Mailing Address - Phone:972-775-4344
Mailing Address - Fax:214-817-5001
Practice Address - Street 1:4470 E HIGHWAY 287
Practice Address - Street 2:SUITE 500
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-7535
Practice Address - Country:US
Practice Address - Phone:972-775-4344
Practice Address - Fax:214-817-5001
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-02
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13342111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor