Provider Demographics
NPI:1992893812
Name:JANOLO, ART FRED (DC)
Entity type:Individual
Prefix:DR
First Name:ART
Middle Name:FRED
Last Name:JANOLO
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 1:848 S DENTON TAP RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-4556
Mailing Address - Country:US
Mailing Address - Phone:972-462-9161
Mailing Address - Fax:972-393-4131
Practice Address - Street 1:848 S DENTON TAP RD
Practice Address - Street 2:SUITE 200
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-4556
Practice Address - Country:US
Practice Address - Phone:972-462-9161
Practice Address - Fax:972-393-4131
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8256111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX75-2627559OtherTAX ID NUMBER