Provider Demographics
NPI:1427177856
Name:GUZICK, MAURY ALAN (DC)
Entity type:Individual
Prefix:DR
First Name:MAURY
Middle Name:ALAN
Last Name:GUZICK
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 1:10259 CHIMNEY HILL LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-2310
Mailing Address - Country:US
Mailing Address - Phone:214-707-3699
Mailing Address - Fax:
Practice Address - Street 1:4100 INTERNATIONAL PKWY
Practice Address - Street 2:SUITE 1010
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-1971
Practice Address - Country:US
Practice Address - Phone:972-307-3700
Practice Address - Fax:972-307-3734
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3074111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT13605Medicare UPIN