=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811215437
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ARORA FAMILY CHIROPRACTIC,PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/06/2010
-----------------------------------------------------
Last Update Date | 05/06/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4040 LEGACY DR SUITE # 203
-----------------------------------------------------
City | FRISCO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75034-6747
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-476-1184
-----------------------------------------------------
Fax | 214-377-6243
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4040 LEGACY DR SUITE # 203
-----------------------------------------------------
City | FRISCO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75034-6747
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-476-1184
-----------------------------------------------------
Fax | 214-377-6243
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. PUNEET ARORA
-----------------------------------------------------
Credential | D.C
-----------------------------------------------------
Telephone | 214-476-1184
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 10168
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------