Provider Demographics
NPI:1245968734
Name:ZEUS CHIROPRACTIC LLC
Entity type:Organization
Organization Name:ZEUS CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JESUS
Authorized Official - Middle Name:
Authorized Official - Last Name:NEVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:806-930-7927
Mailing Address - Street 1:120 S DENTON TAP RD STE 410
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-5036
Mailing Address - Country:US
Mailing Address - Phone:469-393-0504
Mailing Address - Fax:469-923-0787
Practice Address - Street 1:120 S DENTON TAP RD STE 410
Practice Address - Street 2:
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-5036
Practice Address - Country:US
Practice Address - Phone:469-393-0504
Practice Address - Fax:469-923-0787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-11
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty