Doctor Name: | VIVIAN BURTON |
NPI Number: | 1104111947 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DC |
License Number: | 11754 |
Business Practice Address: | 1190 Parker Sq Flower Mound, TX - 750287432 |
Business Phone Number: | 9728995710 |
Business Fax Number: | 9728995715 |
Mailing Address: | 2625 Butterfield Rd, Ste 301n OAK BROOK |
State: | IL |
Postal Code: | 605231234 |
Phone Number: | 6304681824 |
Fax Number: | 6307011007 |
NPI Enumeration Date: | 06/09/2011 |
NPI Last Update Date: | 05/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 11754 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy 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 interrelationship with other body systems. |