Provider Demographics
NPI:1760429849
Name:PINSON-ERB, KIMBERLY M (DC)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:M
Last Name:PINSON-ERB
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 1:255 S DENTON TAP RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-5050
Mailing Address - Country:US
Mailing Address - Phone:972-556-9595
Mailing Address - Fax:972-556-0118
Practice Address - Street 1:255 S DENTON TAP RD
Practice Address - Street 2:SUITE 200
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019
Practice Address - Country:US
Practice Address - Phone:972-556-9595
Practice Address - Fax:972-556-0118
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2018-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7321111NN0400X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5223835OtherFIRST HEALTH PROVIDER #
TX828260OtherBCBS PROVIDER #
TX658710OtherMEDICARE
TX5756609OtherAETNA PROVIDER #
TX828260OtherBCBS PROVIDER #