Healthcare Provider Details
I. General information
NPI: 1013017649
Provider Name (Legal Business Name): CURTIS LEE ADAMS FNP,DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/24/2006
Last Update Date: 05/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11615 FOREST CENTRAL DR STE 214
DALLAS TX
75243-3910
US
IV. Provider business mailing address
660 PRESTON FOREST CENTER SUITE 426
DALLAS TX
75230
US
V. Phone/Fax
- Phone: 214-507-2831
- Fax:
- Phone: 214-507-2831
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | DC 4872 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 793295 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: