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General NPI Number Information
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NPI Number | 1104196062
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Entity Type | Organization
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Legal Business Name | ALLIED MEDICAL CENTER, LLC
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Dates
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Enumeration Date | 01/10/2012
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Last Update Date | 01/16/2012
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Provider Practice Location Address
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Address Line | 2700 W UNIVERSITY DR SUITE 1060
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City | DENTON
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State | TX
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Zip | 76201-1610
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Country | US
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Telephone | 678-328-0577
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Fax |
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Provider Business Mailing Address
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Address Line | 2484 BRIARCLIFF RD NE SUITE 22, #337
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City | ATLANTA
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State | GA
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Zip | 30329-3011
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. TERRY DO
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Credential | DC
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Telephone | 678-328-0577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 07845
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 11358
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207QS1201X
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Taxonomy Name | Sleep Medicine (Family Medicine) Physician
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License Number | M4580
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License Number State | TX
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