Provider Demographics
NPI:1124439278
Name:NEW DIRECTIONS CHIROPRACTIC
Entity type:Organization
Organization Name:NEW DIRECTIONS CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHON
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:214-215-4119
Mailing Address - Street 1:107 SUNCREEK DR STE 400
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-3673
Mailing Address - Country:US
Mailing Address - Phone:214-215-4119
Mailing Address - Fax:214-310-1408
Practice Address - Street 1:107 SUNCREEK DR STE 400
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-3673
Practice Address - Country:US
Practice Address - Phone:214-215-4119
Practice Address - Fax:214-310-1408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-12
Last Update Date:2014-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX113847111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty