Provider Demographics
NPI:1306192422
Name:HARKINS, DANIELLE CHRISTINE (DC)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:CHRISTINE
Last Name:HARKINS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 N MAIN ST
Mailing Address - Street 2:STE 124
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76039-3655
Mailing Address - Country:US
Mailing Address - Phone:682-503-4177
Mailing Address - Fax:682-503-4409
Practice Address - Street 1:414 N MAIN ST
Practice Address - Street 2:STE 124
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76039-3655
Practice Address - Country:US
Practice Address - Phone:682-503-4177
Practice Address - Fax:682-503-4409
Is Sole Proprietor?:No
Enumeration Date:2012-07-26
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11997111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor