Provider Demographics
NPI:1831966811
Name:PERKINS, DANIEL J (DC)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:J
Last Name:PERKINS
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 1:700 E SOUTHLAKE BLVD STE 190
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-6351
Mailing Address - Country:US
Mailing Address - Phone:817-291-3458
Mailing Address - Fax:
Practice Address - Street 1:700 E SOUTHLAKE BLVD STE 190
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-6351
Practice Address - Country:US
Practice Address - Phone:817-291-3458
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-08
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14560111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor