Provider Demographics
NPI:1710324561
Name:AHEAD OF THE GAME
Entity Type:Organization
Organization Name:AHEAD OF THE GAME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:HARDY
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:214-929-0728
Mailing Address - Street 1:PO BOX 2610
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-0049
Mailing Address - Country:US
Mailing Address - Phone:214-929-0728
Mailing Address - Fax:972-249-2065
Practice Address - Street 1:6155 SPORTS VILLAGE RD
Practice Address - Street 2:#350
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-3577
Practice Address - Country:US
Practice Address - Phone:972-292-7405
Practice Address - Fax:972-249-2065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-03
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8135111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty