Provider Demographics
NPI:1255589644
Name:CERRONE, CARA ROSE (DC)
Entity type:Individual
Prefix:DR
First Name:CARA
Middle Name:ROSE
Last Name:CERRONE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12240 INWOOD RD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75244-8027
Mailing Address - Country:US
Mailing Address - Phone:972-989-7998
Mailing Address - Fax:
Practice Address - Street 1:12240 INWOOD RD
Practice Address - Street 2:SUITE 230
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75244-8027
Practice Address - Country:US
Practice Address - Phone:972-989-7998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-28
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10914111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor