Provider Demographics
NPI:1912743469
Name:CORE P.C.
Entity type:Organization
Organization Name:CORE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:CLIFTON
Authorized Official - Last Name:CRANE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:214-506-0525
Mailing Address - Street 1:5600 W LOVERS LN STE 218
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75209-4369
Mailing Address - Country:US
Mailing Address - Phone:214-506-0525
Mailing Address - Fax:
Practice Address - Street 1:5600 W LOVERS LN STE 218
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75209-4369
Practice Address - Country:US
Practice Address - Phone:214-506-0525
Practice Address - Fax:855-395-0819
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CORE P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-03
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty