Provider Demographics
NPI:1790010304
Name:RHEA S DOUGHTY DC
Entity Type:Organization
Organization Name:RHEA S DOUGHTY DC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RHEA
Authorized Official - Middle Name:S
Authorized Official - Last Name:DOUGHTY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-285-0010
Mailing Address - Street 1:2007 N GALLOWAY AVE
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-1552
Mailing Address - Country:US
Mailing Address - Phone:972-285-0010
Mailing Address - Fax:972-285-0295
Practice Address - Street 1:2007 N GALLOWAY AVE
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-1552
Practice Address - Country:US
Practice Address - Phone:972-285-0010
Practice Address - Fax:972-285-0295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-15
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5853111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty