Provider Demographics
NPI:1184878019
Name:NO PAIN CHIROPRACTIC
Entity type:Organization
Organization Name:NO PAIN CHIROPRACTIC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:RAYMOND
Authorized Official - Last Name:DOOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-291-3466
Mailing Address - Street 1:630 N HIGHWAY 67
Mailing Address - Street 2:STE. 7
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-2156
Mailing Address - Country:US
Mailing Address - Phone:972-291-3466
Mailing Address - Fax:972-291-6144
Practice Address - Street 1:630 N HIGHWAY 67
Practice Address - Street 2:STE. 7
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-2156
Practice Address - Country:US
Practice Address - Phone:972-291-3466
Practice Address - Fax:972-291-6144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-05
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6986111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1831298868OtherINDIVIDUAL NPI NUMBER