Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 14536 | TX |
N | 111NR0400X | Rehabilitation Chiropractor | 14536 | TX |
NPI | 1124626775 |
---|---|
Provider Name | Miss Genesis Arlette Travez-Arana |
First Address | Arlington, TX 76015-2921 |
Second Address | Arlington, TX 76015-2921 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2020 |
Last Update Date | 26/10/2020 |