Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 10465 | TX |
N | 111NN1001X | Nutrition | 10465 | TX |
N | 111NS0005X | Chiropractic Sports Physician | 10465 | TX |
NPI | 1104035690 |
---|---|
Provider Name | Dr. John T Dotson |
First Address | Dallas, TX 75230-2038 |
Second Address | Dallas, TX 75230-2038 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2007 |
Last Update Date | 17/12/2007 |