Organization
COLONY CHIROPRACTIC PA
Active
Other names
Colony Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY DENISE SMITH D.C. (OWNER/CHIROPRACTOR)
(972) 625-4800
Entity
Organization
Contact information
Practice address
4709 STATE HIGHWAY 121 STE 124, THE COLONY, TX 75056-2903
(972) 625-4800
(972) 625-5028
Mailing address
4709 STATE HIGHWAY 121 STE 124, THE COLONY, TX 75056-2903
(972) 625-4800
(972) 625-5028
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6216
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023082724
TYPE 1 NPI
TX
01
—
5975391
AETNA
TX
01
—
8H3860
BLUECROSS BLUESHIELD
TX
Enumeration date
09/19/2007
Last updated
12/15/2020
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