Healthcare Provider Details

I. General information

NPI: 1073637302
Provider Name (Legal Business Name): MINSHEW-SHURR HEALTHCARE GROUP P A
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 05/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14180 DALLAS PKWY SUITE 520
DALLAS TX
75254-4341
US

IV. Provider business mailing address

14180 DALLAS PKWY SUITE 520
DALLAS TX
75254-4341
US

V. Phone/Fax

Practice location:
  • Phone: 972-701-9696
  • Fax: 972-701-9797
Mailing address:
  • Phone: 972-701-9696
  • Fax: 972-701-9797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number9402
License Number StateTX

VIII. Authorized Official

Name: DR. JANIZ MINSHEW-SHURR
Title or Position: DOCTOR
Credential: D.C.
Phone: 972-701-9696