Healthcare Provider Details

I. General information

NPI: 1154000768
Provider Name (Legal Business Name): HARLEY URANGA DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2023
Last Update Date: 07/12/2023
Certification Date: 07/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

951 E INTERSTATE 30
ROCKWALL TX
75087-4844
US

IV. Provider business mailing address

951 E INTERSTATE 30
ROCKWALL TX
75087-4844
US

V. Phone/Fax

Practice location:
  • Phone: 972-434-3830
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number15553
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: