Provider Demographics
NPI:1821125477
Name:STARIN FAMILY CARE CHIROPRACTIC PA
Entity Type:Organization
Organization Name:STARIN FAMILY CARE CHIROPRACTIC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:STARIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-420-0083
Mailing Address - Street 1:1681 JUSTIN RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-4323
Mailing Address - Country:US
Mailing Address - Phone:972-420-0083
Mailing Address - Fax:972-539-2183
Practice Address - Street 1:1681 JUSTIN RD
Practice Address - Street 2:SUITE 100
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-4323
Practice Address - Country:US
Practice Address - Phone:972-420-0083
Practice Address - Fax:972-539-2183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7098111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00114ZMedicare PIN