Individual
DR. DEREK LAYNE PAGE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2920 OAK PARK CIR, SUITE 101, FORT WORTH, TX 76109-1853
(817) 924-7243
(817) 924-0284
Mailing address
2920 OAK PARK CIR, SUITE 101, FORT WORTH, TX 76109-1853
(817) 924-7243
(817) 924-0284
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4279
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8115147
BLUE LINK
TX
01
—
BCBS
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/04/2006
Last updated
01/13/2021
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