Provider Demographics
NPI:1952835217
Name:TOMLINSON, DAWNDI SHANTELLE (DC)
Entity Type:Individual
Prefix:DR
First Name:DAWNDI
Middle Name:SHANTELLE
Last Name:TOMLINSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6348 STONE LAKE DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76179-7734
Mailing Address - Country:US
Mailing Address - Phone:817-648-8492
Mailing Address - Fax:844-682-0342
Practice Address - Street 1:6348 STONE LAKE DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76179-7734
Practice Address - Country:US
Practice Address - Phone:903-231-3835
Practice Address - Fax:244-682-0342
Is Sole Proprietor?:No
Enumeration Date:2017-04-13
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13432111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX626711Z09OtherMEDICARE