MEDICARE: DR. OTIS LEE PERKINS II DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	5961	OR

General Provider Information

NPI Number	:	1144792094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OTIS LEE PERKINS II DC

Provider Business Mailing Address
First Line	:	8499 GREENVILLE AVE STE 203
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-2421
Country	:	US
Telephone Number	:	469-620-6245
Fax Number	:	214-468-4779

Provider Business Practice Location Address
First Line	:	8499 GREENVILLE AVE STE 203
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-2421
Country	:	US
Telephone Number	:	469-620-6245
Fax Number	:	214-468-4779

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/17/2018
Last Update Date	:	12/08/2025

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