Provider Demographics
NPI:1669044616
Name:SINGH, MANINDERJIT (DC)
Entity Type:Individual
Prefix:DR
First Name:MANINDERJIT
Middle Name:
Last Name:SINGH
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 1:923 W GLADE RD STE C
Mailing Address - Street 2:
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76054-6056
Mailing Address - Country:US
Mailing Address - Phone:817-849-2361
Mailing Address - Fax:817-849-2362
Practice Address - Street 1:923 W GLADE RD STE C
Practice Address - Street 2:
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76054-6056
Practice Address - Country:US
Practice Address - Phone:817-849-2361
Practice Address - Fax:817-849-2362
Is Sole Proprietor?:No
Enumeration Date:2021-07-10
Last Update Date:2021-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14594111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor