Shawn Alan Fyke

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8398 Issued in TX

Legal business name

SHAWN ALAN FYKE

Doing business as

Centex Spine & Rehab

Practice address

205 M B Industrial
Woodway, TX 76712-6461

Phone

(254) 235-0708

Fax

(254) 693-7775

NPI assigned

Aug 27, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shawn Alan Fyke, DC

Title

Owner

Phone

(254) 235-0708

Specialties & licenses 1

Addresses

Other names 1

• CENTEX SPINE & REHAB Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510704000000",
    "number": "1235322884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 M B INDUSTRIAL",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "767126461",
            "telephone_number": "254-235-0708",
            "fax_number": "254-693-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 M B INDUSTRIAL",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "767126461",
            "telephone_number": "254-235-0708",
            "fax_number": "254-693-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN ALAN FYKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2017-11-15",
        "status": "A",
        "authorized_official_last_name": "FYKE",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-235-0708",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTEX SPINE & REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Woodway, TX
• Providers in Woodway, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.