Provider Demographics
NPI:1114185006
Name:JOHN BUGARIN, JR, DC & SYLVIA BLANCHARD DC PA
Entity type:Organization
Organization Name:JOHN BUGARIN, JR, DC & SYLVIA BLANCHARD DC PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLORES-BUGARIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:214-760-9701
Mailing Address - Street 1:3100 NORTH O'CONNOR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062
Mailing Address - Country:US
Mailing Address - Phone:972-255-5544
Mailing Address - Fax:
Practice Address - Street 1:408 S CENTRAL EXPY
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75201-5808
Practice Address - Country:US
Practice Address - Phone:214-760-9701
Practice Address - Fax:214-760-9708
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JOHN BUGARIN, JR., DC & SYLVIA BLANCHARD DC PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-28
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty