Basic Information
| Provider Information | |||||||||
| NPI: | 1881355071 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ARMSTEAD | ||||||||
| FirstName: | JULIAN | ||||||||
| MiddleName: | BRIAN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 15110 DALLAS PKWY STE 102 | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752484601 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9725258753 | ||||||||
| FaxNumber: | 9727920290 | ||||||||
| Practice Location | |||||||||
| Address1: | 15110 DALLAS PKWY STE 102 | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752484601 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9725258753 | ||||||||
| FaxNumber: | 9727920290 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/10/2022 | ||||||||
| LastUpdateDate: | 01/10/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 01/10/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 111N00000X | 15009 | TX | Y | 193200000X MULTI-SPECIALTY GROUP | Chiropractic Providers | Chiropractor |
No ID Information.