Provider Demographics
NPI:1962409730
Name:VIERNOW, JOSEPH PRIESTER (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:PRIESTER
Last Name:VIERNOW
Suffix:
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 1:1419 W ARKANSAS LN
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76013-6240
Mailing Address - Country:US
Mailing Address - Phone:817-265-7335
Mailing Address - Fax:817-265-7361
Practice Address - Street 1:1419 W ARKANSAS LN
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-6240
Practice Address - Country:US
Practice Address - Phone:817-265-7335
Practice Address - Fax:817-265-7361
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2741111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8W3010OtherBLUECROSSBLUESHIELD
TXC06010403Medicare ID - Type Unspecified
TXT164112Medicare UPIN