Healthcare Provider Details

I. General information

NPI: 1811272099
Provider Name (Legal Business Name): LUX CHIROPRACTIC PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2011
Last Update Date: 10/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 FERGUSON ST
DENTON TX
76201-2943
US

IV. Provider business mailing address

116 FERGUSON ST
DENTON TX
76201-2943
US

V. Phone/Fax

Practice location:
  • Phone: 940-565-1200
  • Fax: 940-565-1201
Mailing address:
  • Phone: 940-565-1200
  • Fax: 940-565-1201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number6882
License Number StateTX

VIII. Authorized Official

Name: DR. ANTHONY LUX
Title or Position: OWNER/DOCTOR
Credential: D.C., C.C.S.P.
Phone: 940-565-1200