Healthcare Provider Details

I. General information

NPI: 1225685084
Provider Name (Legal Business Name): ANTHONY PATERNOSTER, DC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2019
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1717 PRECINCT LINE RD STE 205
HURST TX
76054-3197
US

IV. Provider business mailing address

1717 PRECINCT LINE RD STE 205
HURST TX
76054-3197
US

V. Phone/Fax

Practice location:
  • Phone: 682-200-7447
  • Fax: 682-334-7119
Mailing address:
  • Phone: 682-200-7447
  • Fax: 682-334-7119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: ANTHONY PATERNOSTER
Title or Position: OWNER
Credential: DC
Phone: 682-200-7447