Organization
SHEPHERD CHIROPRACTIC OFFICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAXWELL RICHIE (OFFICE MANAGER)
(972) 446-8877
Entity
Organization
Contact information
Practice address
5800 LEGACY DRIVE, SUITE 12C, PLANO, TX 75024
(972) 446-8877
(972) 446-1142
Mailing address
5800 LEGACY DRIVE, SUITE 12C, PLANO, TX 75024
(972) 446-8877
(972) 446-1142
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
DC4514
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
601779
MEDICARE PTAN
TX
01
—
DC4514
LICENSE
TX
Enumeration date
08/24/2010
Last updated
11/18/2015
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