Healthcare Provider Details

I. General information

NPI: 1114882859
Provider Name (Legal Business Name): JOSEPH ALA SANCHEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4123 CEDAR SPRINGS RD APT 4512
DALLAS TX
75219-3558
US

IV. Provider business mailing address

4123 CEDAR SPRINGS RD APT 4512
DALLAS TX
75219-3558
US

V. Phone/Fax

Practice location:
  • Phone: 719-393-2446
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHR.0009020
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: