Healthcare Provider Details

I. General information

NPI: 1811287535
Provider Name (Legal Business Name): SYKES CHIROPRACTIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2011
Last Update Date: 12/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7633 BELLAIRE DR S STE 101
FORT WORTH TX
76132-4311
US

IV. Provider business mailing address

7633 BELLAIRE DR S STE 101
FORT WORTH TX
76132-4311
US

V. Phone/Fax

Practice location:
  • Phone: 817-349-7541
  • Fax: 817-349-7549
Mailing address:
  • Phone: 817-349-7541
  • Fax: 817-349-7549

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number11678
License Number StateTX

VIII. Authorized Official

Name: DR. KEVIN CARSTEN SYKES
Title or Position: OWNER/CHIROPRACTOR
Credential: D.C.
Phone: 817-349-7541