Healthcare Provider Details

I. General information

NPI: 1942287768
Provider Name (Legal Business Name): SAMUEL SYMMANK D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/22/2005
Last Update Date: 09/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5729 LEBANON RD STE 144
FRISCO TX
75034-7259
US

IV. Provider business mailing address

5100 ELDORADO PKWY SUITE 803
MCKINNEY TX
75070-6309
US

V. Phone/Fax

Practice location:
  • Phone: 214-596-2880
  • Fax: 972-540-6226
Mailing address:
  • Phone: 214-596-2880
  • Fax: 972-767-0593

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC9044
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: