Basic Information
Provider Information
NPI: 1972010668
EntityType: 2
ReplacementNPI:  
OrganizationName: ZENITH CHIROPRACTIC PLLC
LastName:  
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Mailing Information
Address1: PO BOX 1969
Address2:  
City: FRISCO
State: TX
PostalCode: 750340034
CountryCode: US
TelephoneNumber: 8172670102
FaxNumber: 8887706360
Practice Location
Address1: 800 FOREST OAKS LN STE C
Address2:  
City: HURST
State: TX
PostalCode: 760534959
CountryCode: US
TelephoneNumber: 8172670102
FaxNumber: 8887706360
Other Information
ProviderEnumerationDate: 01/04/2018
LastUpdateDate: 06/02/2021
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: GILL
AuthorizedOfficialFirstName: GURSIMRAN
AuthorizedOfficialMiddleName: SINGH
AuthorizedOfficialTitleorPosition: ADMIN
AuthorizedOfficialTelephone: 4692362132
IsSoleProprietor:  
IsOrganizationSubpart: N
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NPICertificationDate: 06/02/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
111N00000X13012TXY193400000X MULTIPLE SINGLE SPECIALTY GROUPChiropractic ProvidersChiropractor 

No ID Information.


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