Doctor Name: | DR. RYAN J FUSON |
NPI Number: | 1427210061 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 11710 |
Business Practice Address: | 3501 Gus Thomasson Rd Mesquite, TX - 751503699 |
Business Phone Number: | 2142799111 |
Business Fax Number: | 9723785902 |
Mailing Address: | 1522 Ginger Dr, CARROLLTON |
State: | TX |
Postal Code: | 750072841 |
Phone Number: | 2149263414 |
Fax Number: | |
NPI Enumeration Date: | 06/25/2008 |
NPI Last Update Date: | 10/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 11710 |
Healthcare Provider Taxonomy: (Secondary) | N |
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. |