Provider Demographics
NPI:1053733295
Name:A-SPINE CHIROPRACTIC & ACUPUNCTURE, PLLC
Entity type:Organization
Organization Name:A-SPINE CHIROPRACTIC & ACUPUNCTURE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:GRIMMETT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:214-277-9557
Mailing Address - Street 1:11345 CHAUCER DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-7788
Mailing Address - Country:US
Mailing Address - Phone:214-491-7072
Mailing Address - Fax:
Practice Address - Street 1:5881 VIRGINIA PKWY
Practice Address - Street 2:STE 450
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-5640
Practice Address - Country:US
Practice Address - Phone:214-491-7072
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-07
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10902111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty