Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 9402 | TX |
NPI | 1609963685 |
---|---|
Provider Name | Dr. Janiz Minshew-Shurr |
First Address | Dallas, TX 75254-4341 |
Second Address | Dallas, TX 75254-4341 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8R5271 | (02) | TX |