Provider Demographics
NPI:1427839174
Name:SYNAPTIC CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:SYNAPTIC CHIROPRACTIC PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EARLE
Authorized Official - Last Name:SORENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:817-502-3494
Mailing Address - Street 1:225 E BRIAN ST
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-3137
Mailing Address - Country:US
Mailing Address - Phone:817-502-3494
Mailing Address - Fax:
Practice Address - Street 1:3095 BURLESON RETTA RD STE 7-F
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-7965
Practice Address - Country:US
Practice Address - Phone:817-502-3494
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-09
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty