Provider Demographics
NPI:1184615346
Name:LENOX, HEATH DELANE (DC)
Entity type:Individual
Prefix:DR
First Name:HEATH
Middle Name:DELANE
Last Name:LENOX
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 1:10500 W MARKHAM ST
Mailing Address - Street 2:SUITE 118
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-2140
Mailing Address - Country:US
Mailing Address - Phone:501-223-9575
Mailing Address - Fax:501-223-9590
Practice Address - Street 1:10500 W MARKHAM ST
Practice Address - Street 2:SUITE 118
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-2140
Practice Address - Country:US
Practice Address - Phone:501-223-9575
Practice Address - Fax:501-223-9590
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-04
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9807111N00000X
AR15940111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX170462901Medicaid
TX8C9756Medicare ID - Type UnspecifiedCHIROPRACTOR
TX170462901Medicaid