Provider Demographics
NPI:1841448420
Name:SILMON, SANDRA (DC)
Entity type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:
Last Name:SILMON
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 1:8700 N STEMMONS FWY
Mailing Address - Street 2:SUITE 109
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247-3729
Mailing Address - Country:US
Mailing Address - Phone:214-819-4588
Mailing Address - Fax:214-819-4588
Practice Address - Street 1:8700 N STEMMONS FWY
Practice Address - Street 2:SUITE 109
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247-3729
Practice Address - Country:US
Practice Address - Phone:214-819-4588
Practice Address - Fax:214-819-4588
Is Sole Proprietor?:No
Enumeration Date:2008-09-08
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10592111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor