Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 14984 | TX |
NPI | 1225799661 |
---|---|
Provider Name | Dr. John Evan Giles |
First Address | Frisco, TX 75034-0034 |
Second Address | Farmers Branch, TX 75234-8807 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/01/2022 |
Last Update Date | 07/01/2022 |