Individual provider · Type 1 NPI
Derek Layne Page Sr., DC
Chiropractor · Fort Worth, TX
NPI number
1609962190
Active · reactivated Jul 14, 2020
Practice location
2920 Oak Park Cir, Suite 101
Fort Worth, TX 76109-1853
Fax (817) 924-0284
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 4279 (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.
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About NPI 1609962190
Derek Layne Page Sr., DC's National Provider Identifier is 1609962190, issued on Oct 4, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Fort Worth, TX. The record was last updated on Jan 13, 2021.