Organization
CANTON CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ZACHARIAS (ADMINISTRATOR)
(214) 943-9431
Entity
Organization
Contact information
Practice address
430 S TRADE DAYS BLVD, CANTON, TX 75103-3302
(903) 567-6106
(906) 567-5115
Mailing address
PO BOX 226656, DALLAS, TX 75222-6656
(903) 567-6106
(903) 567-5115
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00680N
BCBS
TX
05
—
080996401
—
TX
Enumeration date
05/17/2006
Last updated
11/12/2025
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