Provider Demographics
NPI:1013998541
Name:CROSS, DAMON ALAN (DC)
Entity type:Individual
Prefix:DR
First Name:DAMON
Middle Name:ALAN
Last Name:CROSS
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 1:1005 S JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79101-3231
Mailing Address - Country:US
Mailing Address - Phone:806-379-8004
Mailing Address - Fax:806-379-8004
Practice Address - Street 1:1005 S JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79101-3231
Practice Address - Country:US
Practice Address - Phone:806-379-8004
Practice Address - Fax:806-379-7639
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5247111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor