Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NN0400X | Neurology | 10920 | TX |
Y | 111NR0400X | Rehabilitation Chiropractor | 10920 | TX |
NPI | 1013171248 |
---|---|
Provider Name | Dr. Alyssa Summey |
First Address | Mckinney, TX 75069-4423 |
Second Address | Mckinney, TX 75069-4423 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2008 |
Last Update Date | 16/12/2011 |