Provider Demographics
NPI:1851526206
Name:LEONARD FAMILY CHIROPRACTIC
Entity Type:Organization
Organization Name:LEONARD FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:TROY
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:ALLAM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:903-587-2496
Mailing Address - Street 1:7900 HENNEMAN WAY STE 200
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-3125
Mailing Address - Country:US
Mailing Address - Phone:903-587-2496
Mailing Address - Fax:
Practice Address - Street 1:100 EAST COLLIN ST
Practice Address - Street 2:
Practice Address - City:LEONARD
Practice Address - State:TX
Practice Address - Zip Code:75452
Practice Address - Country:US
Practice Address - Phone:903-587-2496
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-28
Last Update Date:2009-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX611516Medicare PIN