Dale Alan Southerland in Pearland - Chiropractor
Dale Alan Southerland - NPI 1518979509
Dale Alan Southerland is a Chiropractor in Pearland, Texas. Dale Alan Southerland practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Dale Alan Southerland is 1518979509. The last update date is 2012-12-11.
Dale Alan Southerland's current location address is 3206 Manvel Rd, Pearland, Texas. You can contact this provider via phone number 2819978788 and fax number 2819978797. The mailing address for Dale Alan Southerland is 3206 Manvel Rd, Pearland, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dale Alan Southerland |
|---|---|
| Address | 3206 Manvel Rd, Pearland, Texas |
| Phone Number | 2819978788 |
| Fax Number | 2819978797 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1518979509 |
|---|---|
| Provider Enumeration Date | 2006-08-12 |
| Last Updated Date | 2012-12-11 |
Provider Mailing Address Detail
| Address | 3206 Manvel Rd |
|---|---|
| City | Pearland |
| State | Texas (TX) |
| Post Code | 775847580 |
| Phone Number | 2819978788 |
| Fax Number | 2819978797 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 6914 |
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Definition: 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 inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 605368 | TX | BCBS | |
| 1896201 | TX | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Dale Alan Southerland?
The Dale Alan Southerland has been issued the NPI (National Provider Identifier) 1518979509 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Dale Alan Southerland's facilities are geographically located?
The facilities of Dale Alan Southerland are physically situated at the following location: 3206 Manvel Rd, Pearland, TX, 775847580.
What is Dale Alan Southerland's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dale Alan Southerland's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1518979509 to Dale Alan Southerland?
The Centers for Medicare & Medicaid Services originally issued the 1518979509 to Dale Alan Southerland on 2006-08-12.
When was the information regarding Dale Alan Southerland most recently updated?
The details pertaining to the Dale Alan Southerland, including its address, specialty, and other relevant information, were last refreshed on 2012-12-11.