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NPI Code Detail

MEDICARE: ASHLEY DRAKE, INC.

MEDICARE: ASHLEY DRAKE, INC.
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
1111N00000XChiropractor11735TX

General Provider Information

NPI Number : 1346733854
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASHLEY DRAKE, INC.
Provider Business Mailing Address
First Line : 600 E JOHN CARPENTER FWY STE 125
Second Line :
City : IRVING
State : TX
Zip : 75062-4299
Country : US
Telephone Number : 972-556-5667
Fax Number : 972-635-4430
Provider Business Practice Location Address
First Line : 600 E JOHN CARPENTER FWY STE 125
Second Line :
City : IRVING
State : TX
Zip : 75062-4299
Country : US
Telephone Number : 972-556-5667
Fax Number : 972-635-4430
Authorized Official
Title or Position : CEO
Name : DR. GREGORY HERBERT STOWE
Credential : D.C.
Telephone Number : 214-498-4866
Provider Enumeration Date : 06/08/2018
Last Update Date : 01/07/2022

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Directions to “ASHLEY DRAKE, INC. ” Practice Location

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