Provider Demographics
NPI:1770817488
Name:KAREN ADAIR, INC
Entity Type:Organization
Organization Name:KAREN ADAIR, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:KIRBY
Authorized Official - Last Name:ADAIR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-396-8866
Mailing Address - Street 1:PO BOX 1107
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-0018
Mailing Address - Country:US
Mailing Address - Phone:972-396-8866
Mailing Address - Fax:972-396-9090
Practice Address - Street 1:400 N ALLEN DR
Practice Address - Street 2:SUITE 103
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-2555
Practice Address - Country:US
Practice Address - Phone:972-396-8866
Practice Address - Fax:973-396-9090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-28
Last Update Date:2009-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6512111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0018012-01Medicaid
TX605101Medicare PIN
TX0018012-01Medicaid