Healthcare Provider Details

I. General information

NPI: 1780168716
Provider Name (Legal Business Name): COREY NICHOLAS STRUNK DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2018
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 PECAN ST
KELLER TX
76248-2215
US

IV. Provider business mailing address

140 PECAN ST
KELLER TX
76248-2215
US

V. Phone/Fax

Practice location:
  • Phone: 817-776-1023
  • Fax:
Mailing address:
  • Phone: 817-776-1023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number13905
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: