Provider Demographics
NPI:1457190159
Name:QUIROS CAMACHO, BRITTANY PRISCILLA (DC)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:PRISCILLA
Last Name:QUIROS CAMACHO
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 1:759 CAMDEN DR
Mailing Address - Street 2:
Mailing Address - City:LAVON
Mailing Address - State:TX
Mailing Address - Zip Code:75166-1938
Mailing Address - Country:US
Mailing Address - Phone:801-787-3897
Mailing Address - Fax:
Practice Address - Street 1:3800 GAYLORD PKWY STE 795
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-1102
Practice Address - Country:US
Practice Address - Phone:214-902-3400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16058111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology