Provider Demographics
NPI:1790987170
Name:CRAIN, ALLYN ANNE (DC)
Entity Type:Individual
Prefix:DR
First Name:ALLYN
Middle Name:ANNE
Last Name:CRAIN
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:PO BOX 1308
Mailing Address - Street 2:
Mailing Address - City:SALADO
Mailing Address - State:TX
Mailing Address - Zip Code:76571-1308
Mailing Address - Country:US
Mailing Address - Phone:254-947-2225
Mailing Address - Fax:
Practice Address - Street 1:418 N MAIN ST
Practice Address - Street 2:SUITE 5
Practice Address - City:SALADO
Practice Address - State:TX
Practice Address - Zip Code:76571-6135
Practice Address - Country:US
Practice Address - Phone:254-947-2225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2015-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10603111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX191431901Medicaid
TX608390OtherBLUE CROSS BLUE SHIELD
TX608390OtherBLUE CROSS BLUE SHIELD