Healthcare Provider Details

I. General information

NPI: 1952195851
Provider Name (Legal Business Name): COOPER SAMUEL KRONE DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 E VIRGINIA ST STE 201
MCKINNEY TX
75069-4460
US

IV. Provider business mailing address

115 E VIRGINIA ST STE 201
MCKINNEY TX
75069-4460
US

V. Phone/Fax

Practice location:
  • Phone: 469-431-3413
  • Fax:
Mailing address:
  • Phone: 618-469-3413
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number16674
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: