Provider Demographics
NPI:1528079332
Name:ASPIRE HEALTH CLINIC
Entity type:Organization
Organization Name:ASPIRE HEALTH CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:YOUNG
Authorized Official - Last Name:YU
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:214-234-0000
Mailing Address - Street 1:10440 N CENTRAL EXPY
Mailing Address - Street 2:SUITE 124
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-2221
Mailing Address - Country:US
Mailing Address - Phone:214-234-0000
Mailing Address - Fax:214-234-7576
Practice Address - Street 1:10440 N CENTRAL EXPY
Practice Address - Street 2:SUITE 124
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-2221
Practice Address - Country:US
Practice Address - Phone:214-234-0000
Practice Address - Fax:214-234-7576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9543111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU97813Medicare UPIN
TX8B3122Medicare ID - Type Unspecified