Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 11520 | TX |
NPI | 1023324936 |
---|---|
Provider Name | Kristen M Deligans |
First Address | Sherman, TX 75092-3492 |
Second Address | Sherman, TX 75092-3492 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2010 |
Last Update Date | 01/12/2010 |