Provider Demographics
NPI:1205081973
Name:OASIS CHIROPRACTIC & WELLNESS CLINIC PLLC
Entity type:Organization
Organization Name:OASIS CHIROPRACTIC & WELLNESS CLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DANA
Authorized Official - Middle Name:CANTRELL
Authorized Official - Last Name:APPLEWHITE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-780-8085
Mailing Address - Street 1:2727 BOLTON BOONE DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-2019
Mailing Address - Country:US
Mailing Address - Phone:972-780-8085
Mailing Address - Fax:972-780-7276
Practice Address - Street 1:2727 BOLTON BOONE DR
Practice Address - Street 2:SUITE 110
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-2019
Practice Address - Country:US
Practice Address - Phone:972-780-8085
Practice Address - Fax:972-780-7276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-23
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10721111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty