Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 13591 | TX |
NPI | 1194223255 |
---|---|
Provider Name | Dr. Richard Pinner |
First Address | Plano, TX 75074-3478 |
Second Address | Plano, TX 75074 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2018 |
Last Update Date | 11/06/2019 |