Provider Demographics
NPI:1730804766
Name:DAVIS, TROY (CHIROPRACTOR)
Entity type:Individual
Prefix:
First Name:TROY
Middle Name:
Last Name:DAVIS
Suffix:
Gender:M
Credentials:CHIROPRACTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 ELDORADO PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-7527
Mailing Address - Country:US
Mailing Address - Phone:972-330-4644
Mailing Address - Fax:
Practice Address - Street 1:2301 ELDORADO PKWY STE 100
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-7527
Practice Address - Country:US
Practice Address - Phone:972-330-4644
Practice Address - Fax:972-600-1272
Is Sole Proprietor?:No
Enumeration Date:2022-10-12
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15308111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor