Healthcare Provider Details

I. General information

NPI: 1336748847
Provider Name (Legal Business Name): PETER AHN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2020
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3712 OLD DENTON RD STE 140
CARROLLTON TX
75007-2814
US

IV. Provider business mailing address

11616 CHARLOTTE LN
FRISCO TX
75035-8340
US

V. Phone/Fax

Practice location:
  • Phone: 518-763-6790
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number16864
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: