Provider Demographics
NPI:1942287768
Name:SYMMANK, SAMUEL (DC)
Entity Type:Individual
Prefix:
First Name:SAMUEL
Middle Name:
Last Name:SYMMANK
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 1:5100 ELDORADO PKWY
Mailing Address - Street 2:SUITE 803
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-6309
Mailing Address - Country:US
Mailing Address - Phone:214-596-2880
Mailing Address - Fax:972-767-0593
Practice Address - Street 1:5729 LEBANON RD
Practice Address - Street 2:STE 144
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-7259
Practice Address - Country:US
Practice Address - Phone:214-596-2880
Practice Address - Fax:972-540-6226
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-22
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC9044111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8J9011OtherBCBS
TXU14160Medicare UPIN
TX611839Medicare ID - Type UnspecifiedMEDICARE