Healthcare Provider Details

I. General information

NPI: 1366592479
Provider Name (Legal Business Name): DANIEL MARK RICHARD D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1630 W PROSPER TRL STE 530
PROSPER TX
75078-3742
US

IV. Provider business mailing address

5301 W SPRING CREEK PKWY APT. #721
PLANO TX
75024-3587
US

V. Phone/Fax

Practice location:
  • Phone: 469-980-8995
  • Fax:
Mailing address:
  • Phone: 214-492-9112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number10256
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1150609
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: