Individual provider · Type 1 NPI
Juan C. Vidales, DC
Chiropractor · Richardson, TX
NPI number
1023602406
Active
Practice location
850 S Greenville Ave Ste 104
Richardson, TX 75081-5046
Fax (972) 644-7247
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | 9039 (AZ) |
| Chiropractor Primary | 111N00000X | 15543 (TX) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
4 other providers at this address
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About NPI 1023602406
Juan C. Vidales, DC's National Provider Identifier is 1023602406, issued on Feb 25, 2021. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Richardson, TX. The record was last updated on Mar 15, 2023.