Provider Demographics
NPI:1063779643
Name:MICHAEL D ASHBY D.C., P.A.
Entity type:Organization
Organization Name:MICHAEL D ASHBY D.C., P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:ASHBY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-414-8181
Mailing Address - Street 1:2011 N COLLINS BLVD
Mailing Address - Street 2:STE 707
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-2645
Mailing Address - Country:US
Mailing Address - Phone:972-414-8181
Mailing Address - Fax:469-248-3414
Practice Address - Street 1:2011 N COLLINS BLVD
Practice Address - Street 2:STE 707
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-2645
Practice Address - Country:US
Practice Address - Phone:972-414-8181
Practice Address - Fax:469-248-3414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-19
Last Update Date:2013-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4405111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty