Provider Demographics
NPI:1932479425
Name:CHASE OAKS CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:CHASE OAKS CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:R
Authorized Official - Last Name:ROYSTON
Authorized Official - Suffix:II
Authorized Official - Credentials:DC
Authorized Official - Phone:469-229-0134
Mailing Address - Street 1:305 W SPRING CREEK PKWY
Mailing Address - Street 2:BLDG B, SUITE 104
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-4626
Mailing Address - Country:US
Mailing Address - Phone:469-229-0134
Mailing Address - Fax:469-467-9277
Practice Address - Street 1:305 W SPRING CREEK PKWY
Practice Address - Street 2:BLDG B, SUITE 104
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-4626
Practice Address - Country:US
Practice Address - Phone:469-229-0134
Practice Address - Fax:469-467-9277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-30
Last Update Date:2011-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9821111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty