Healthcare Provider Details

I. General information

NPI: 1285856674
Provider Name (Legal Business Name): COLE LINDSEY KRICKEN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7830 N CENTRAL EXPY
DALLAS TX
75206-1902
US

IV. Provider business mailing address

7410 BLANCO RD SUITE 400
SAN ANTONIO TX
78216-4363
US

V. Phone/Fax

Practice location:
  • Phone: 800-404-6050
  • Fax: 800-521-9003
Mailing address:
  • Phone: 800-404-6050
  • Fax: 800-521-9003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number8105
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number8105
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number8105
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: