Provider Demographics
NPI:1912195389
Name:PITTS, JAMES CHRISTIAN (DC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:CHRISTIAN
Last Name:PITTS
Suffix:
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 1:2702 MCKINNEY AVE
Mailing Address - Street 2:#202
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-2508
Mailing Address - Country:US
Mailing Address - Phone:214-682-2776
Mailing Address - Fax:
Practice Address - Street 1:2702 MCKINNEY AVE
Practice Address - Street 2:#202
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-2508
Practice Address - Country:US
Practice Address - Phone:214-682-2776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-10
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10691111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor