Provider Demographics
NPI:1053551986
Name:DAVID M. PEASE D.C., P.C.
Entity type:Organization
Organization Name:DAVID M. PEASE D.C., P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:PEASE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-867-2316
Mailing Address - Street 1:3115 W PARKER RD
Mailing Address - Street 2:SUITE 390
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-8137
Mailing Address - Country:US
Mailing Address - Phone:972-867-2316
Mailing Address - Fax:817-796-1383
Practice Address - Street 1:3115 W PARKER RD
Practice Address - Street 2:SUITE 390
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-8137
Practice Address - Country:US
Practice Address - Phone:972-867-2316
Practice Address - Fax:817-796-1383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-05
Last Update Date:2009-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6744111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty