Provider Demographics
NPI:1932913688
Name:COLONY FAMILY CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:COLONY FAMILY CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:F
Authorized Official - Last Name:EASTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-625-4800
Mailing Address - Street 1:4709 STATE HIGHWAY 121 STE 124
Mailing Address - Street 2:
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-2903
Mailing Address - Country:US
Mailing Address - Phone:972-625-4800
Mailing Address - Fax:972-625-5028
Practice Address - Street 1:4709 STATE HIGHWAY 121 STE 124
Practice Address - Street 2:
Practice Address - City:THE COLONY
Practice Address - State:TX
Practice Address - Zip Code:75056-2903
Practice Address - Country:US
Practice Address - Phone:972-625-4800
Practice Address - Fax:972-625-5028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty