Individual provider · Type 1 NPI
Mitchell Reid Dougherty, DC
Chiropractor · Dallas, TX
NPI number
1992053557
Active
Practice location
13396 Preston Rd
Dallas, TX 75240-5208
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 12077 (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 1992053557
Mitchell Reid Dougherty, DC's National Provider Identifier is 1992053557, issued on Aug 29, 2012. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Dallas, TX. The record was last updated on Aug 29, 2012.