Provider Demographics
NPI:1891829792
Name:BUGARIN, JOHN JR (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:
Last Name:BUGARIN
Suffix:JR
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 1:408 S CESAR CHAVEZ BLVD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201-5808
Mailing Address - Country:US
Mailing Address - Phone:214-760-9701
Mailing Address - Fax:214-760-9708
Practice Address - Street 1:408 S CESAR CHAVEZ BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75201-5808
Practice Address - Country:US
Practice Address - Phone:214-760-9701
Practice Address - Fax:214-760-9708
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2016-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9146111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor