Provider Demographics
NPI:1154320737
Name:BRUNK, DARCY E (DC)
Entity type:Individual
Prefix:DR
First Name:DARCY
Middle Name:E
Last Name:BRUNK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1606 WYNN JOYCE RD
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-3266
Mailing Address - Country:US
Mailing Address - Phone:972-303-0683
Mailing Address - Fax:972-303-9683
Practice Address - Street 1:1606 WYNN JOYCE RD
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-3266
Practice Address - Country:US
Practice Address - Phone:972-303-0683
Practice Address - Fax:972-303-9683
Is Sole Proprietor?:No
Enumeration Date:2005-07-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6969111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8G4260OtherBCBS
TXTX6969OtherDR. LICENSE
TX8G4260OtherBCBS
TXU56532Medicare UPIN