Provider Demographics
NPI:1740938745
Name:AMADOR, RUY FRANCISCO (DC)
Entity type:Individual
Prefix:
First Name:RUY
Middle Name:FRANCISCO
Last Name:AMADOR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6802 BATTLE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75089-2665
Mailing Address - Country:US
Mailing Address - Phone:469-265-9330
Mailing Address - Fax:
Practice Address - Street 1:337 OAKS TRL STE 107
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-8028
Practice Address - Country:US
Practice Address - Phone:469-265-9330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-17
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15018111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty