Provider Demographics
NPI:1982911731
Name:HORII, TAKEHISA (DC)
Entity Type:Individual
Prefix:DR
First Name:TAKEHISA
Middle Name:
Last Name:HORII
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 1:8710 MANHATTAN AVE
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-7745
Mailing Address - Country:US
Mailing Address - Phone:972-232-7488
Mailing Address - Fax:972-271-6400
Practice Address - Street 1:5045 LORIMAR DRIVE
Practice Address - Street 2:SUITE 140
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5721
Practice Address - Country:US
Practice Address - Phone:972-232-7488
Practice Address - Fax:972-271-6400
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-31
Last Update Date:2015-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 31005111N00000X
TX12890111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor