Provider Demographics
NPI:1679296321
Name:BARRETT, ALEXIS RUGER (DC)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:RUGER
Last Name:BARRETT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 MORNING DEW LN
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:TX
Mailing Address - Zip Code:75407-2932
Mailing Address - Country:US
Mailing Address - Phone:214-250-6005
Mailing Address - Fax:
Practice Address - Street 1:2824 TERRELL RD STE 204
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75402-5568
Practice Address - Country:US
Practice Address - Phone:903-455-1073
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15306111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor