Doctor Name: | DR. RANDEE MARISA POORTVLIET |
NPI Number: | 1770691891 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 7880 |
Business Practice Address: | 405 W Oak St Denton, TX - 762019039 |
Business Phone Number: | 9404848894 |
Business Fax Number: | 9404841389 |
Mailing Address: | 405 W Oak St, DENTON |
State: | TX |
Postal Code: | 762019039 |
Phone Number: | 9404848894 |
Fax Number: | 9404841389 |
NPI Enumeration Date: | 08/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 7880 |
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. |