Provider Demographics
NPI:1932095627
Name:EMBRY, DYLAN COLE (DC)
Entity type:Individual
Prefix:DR
First Name:DYLAN
Middle Name:COLE
Last Name:EMBRY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2822 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:TX
Mailing Address - Zip Code:77536-4945
Mailing Address - Country:US
Mailing Address - Phone:281-479-9951
Mailing Address - Fax:281-479-3801
Practice Address - Street 1:2822 CENTER ST
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:TX
Practice Address - Zip Code:77536-4945
Practice Address - Country:US
Practice Address - Phone:281-479-9951
Practice Address - Fax:281-479-3801
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16470111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor