Provider Demographics
NPI:1871809673
Name:CALDWELL, KRYSTAL BARNETT (DC)
Entity type:Individual
Prefix:DR
First Name:KRYSTAL
Middle Name:BARNETT
Last Name:CALDWELL
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4808 HWY 121 STE 120
Mailing Address - Street 2:
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-2915
Mailing Address - Country:US
Mailing Address - Phone:214-843-8475
Mailing Address - Fax:
Practice Address - Street 1:2930 PRESTON RD STE 120
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-9054
Practice Address - Country:US
Practice Address - Phone:214-436-5420
Practice Address - Fax:214-975-1974
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-31
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11446111NN0400X, 111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
No111NN1001XChiropractic ProvidersChiropractorNutrition