1982482535 NPI number — CHIRO LIFE HEALTH AND WELLNESS, PLLC

Table of content: MS. MARIA C. LANZI NP (NPI 1063496032)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982482535 NPI number — CHIRO LIFE HEALTH AND WELLNESS, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHIRO LIFE HEALTH AND WELLNESS, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
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Provider Other Credential Text:
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NPI Number Information

NPI Number:
1982482535
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/15/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2701 W 15TH ST STE 514
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PLANO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75075-7523
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
469-596-7699
Provider Business Mailing Address Fax Number:
469-929-9250

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1809 K AVE STE 1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PLANO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75074-5907
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
469-596-7699
Provider Business Practice Location Address Fax Number:
469-929-9250
Provider Enumeration Date:
09/15/2023

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
THOMAS
Authorized Official First Name:
TAMARA
Authorized Official Middle Name:
DAVETTE
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
214-303-7692

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)