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General NPI Number Information
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NPI Number | 1841929403
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Entity Type | Individual
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Provider Name | EXALANDER SAMUEL MAGALLAN III MS, LAT, ATC
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Gender | Male
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Dates
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Enumeration Date | 06/08/2022
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 8501 WADE BLVD STE 420
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City | FRISCO
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State | TX
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Zip | 75034-6873
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Country | US
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Telephone | 972-294-5534
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Fax | 469-453-3456
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Provider Business Mailing Address
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Address Line | 8501 WADE BLVD STE 420
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City | FRISCO
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State | TX
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Zip | 75034-6873
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Country | US
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Telephone | 972-294-5534
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Fax | 469-453-3456
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 16686
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 2000051069
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License Number State | TX
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