Provider Demographics
NPI:1841651668
Name:ASPEN SPINE AND WELLNESS PLLC
Entity type:Organization
Organization Name:ASPEN SPINE AND WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:ADNAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAIKH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-415-6845
Mailing Address - Street 1:1780 W MCDERMOTT DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-3361
Mailing Address - Country:US
Mailing Address - Phone:917-685-6050
Mailing Address - Fax:469-656-3808
Practice Address - Street 1:10150 LEGACY DR
Practice Address - Street 2:SUTIE 200
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-6729
Practice Address - Country:US
Practice Address - Phone:972-385-9898
Practice Address - Fax:888-770-6360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-08
Last Update Date:2016-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty