NPI Code Details Logo

NPI 1790689347

NPI 1790689347 : PROLIFIC CHIROPRACTIC LLC : MCKINNEY, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1790689347
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    PROLIFIC CHIROPRACTIC LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/06/2026
-----------------------------------------------------
    Last Update Date     |    10/06/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    5810 COLLIN MCKINNEY PKWY STE 204 
-----------------------------------------------------
    City                 |    MCKINNEY
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75070-5111
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    469-431-3226
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4213 CARNELIAN RD 
-----------------------------------------------------
    City                 |    LITTLE ELM
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    76227-3114
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    469-742-3761
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     XAVIER  COOPER 
-----------------------------------------------------
    Credential           |    DC
-----------------------------------------------------
    Telephone            |    469-742-3761
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    111N00000X
-----------------------------------------------------
    Taxonomy Name        |    Chiropractor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.