Provider Demographics
NPI:1487763140
Name:ADRIAN, JANET LEE (DC)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:LEE
Last Name:ADRIAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 S BRYAN BELT LINE RD
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-4663
Mailing Address - Country:US
Mailing Address - Phone:972-288-2225
Mailing Address - Fax:972-288-6311
Practice Address - Street 1:323 S BRYAN BELT LINE RD
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-4663
Practice Address - Country:US
Practice Address - Phone:972-288-2225
Practice Address - Fax:972-288-6311
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC6405111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX088466002Medicaid
TX605195OtherBCBS
TX10025562OtherAMERIGROUP
TX088466002Medicaid