Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 9252 | TX |
NPI | 1003969411 |
---|---|
Provider Name | Dr. Todd Allen Bright |
First Address | Euless, TX 76040-3902 |
Second Address | Euless, TX 76040-3902 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2007 |
Last Update Date | 08/07/2007 |