Provider Demographics
NPI:1043514383
Name:PARADOX HEALTHCARE SYSTEMS PLLC
Entity type:Organization
Organization Name:PARADOX HEALTHCARE SYSTEMS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DIRAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:LANCASTER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:940-872-6301
Mailing Address - Street 1:207 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:TX
Mailing Address - Zip Code:76230-4840
Mailing Address - Country:US
Mailing Address - Phone:940-872-6301
Mailing Address - Fax:940-872-6015
Practice Address - Street 1:207 WALNUT ST
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:TX
Practice Address - Zip Code:76230-4840
Practice Address - Country:US
Practice Address - Phone:940-872-6301
Practice Address - Fax:940-872-6015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-30
Last Update Date:2010-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC6021111N00000X
TXDC6307111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX603703Medicare UPIN