Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | DC 4872 | TX |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 793295 | TX |
NPI | 1013017649 |
---|---|
Provider Name | Curtis Lee Adams |
First Address | Dallas, TX 75230 |
Second Address | Dallas, TX 75243-3910 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2006 |
Last Update Date | 10/05/2013 |