Provider Demographics
NPI:1871529255
Name:BEMAN, DOUGLAS L (DC)
Entity type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:L
Last Name:BEMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5425 W SPRING CREEK PKWY
Mailing Address - Street 2:SUITE 270
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-4236
Mailing Address - Country:US
Mailing Address - Phone:972-647-4175
Mailing Address - Fax:817-287-0001
Practice Address - Street 1:5601 BRIDGE ST
Practice Address - Street 2:SUITE 500
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76112-2384
Practice Address - Country:US
Practice Address - Phone:972-647-4175
Practice Address - Fax:817-287-0001
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2012-10-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX7931111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX81020NMedicare PIN