Provider Demographics
NPI:1851463301
Name:FRENCH, STANLEY EDWARD JR (DC)
Entity Type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:EDWARD
Last Name:FRENCH
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1360 N. LEE TREVINO
Mailing Address - Street 2:SUITE 109
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-6429
Mailing Address - Country:US
Mailing Address - Phone:915-633-8150
Mailing Address - Fax:915-633-8140
Practice Address - Street 1:1360 N LEE TREVINO DR
Practice Address - Street 2:SUITE 109
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-6400
Practice Address - Country:US
Practice Address - Phone:915-633-8150
Practice Address - Fax:915-633-8140
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK6672111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXA7930OtherBLUE CROSS BLUE SHEILD
TX609473Medicare ID - Type Unspecified
TXA7930OtherBLUE CROSS BLUE SHEILD