Healthcare Provider Details

I. General information

NPI: 1942575550
Provider Name (Legal Business Name): Q FACTOR CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2012
Last Update Date: 08/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 W MOCKINGBIRD LN SUITE 1000
DALLAS TX
75247-5028
US

IV. Provider business mailing address

1111 W MOCKINGBIRD LN SUITE 1000
DALLAS TX
75247-5028
US

V. Phone/Fax

Practice location:
  • Phone: 214-920-9111
  • Fax: 214-920-9110
Mailing address:
  • Phone: 214-920-9111
  • Fax: 214-920-9110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: MRS. MIRNA QUINTERO PEREZ
Title or Position: OWNER
Credential:
Phone: 214-563-4690