Q Functional Medical Clinic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC7994 Issued in TX

Legal business name

Q FUNCTIONAL MEDICAL CLINIC, P.C.

Doing business as

Q Chiropractic

Practice address

3245 Forest LN
Garland, TX 75042

Phone

(972) 494-1706

Fax

(972) 494-1806

NPI assigned

Oct 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Chang Yeol Lee, DC CSCS FIAMA ACRBII

Title

President

Phone

(972) 494-1706

Specialties & licenses 1

Addresses

Other names 1

• Q Chiropractic Doing business as

Locations

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1548459308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 FOREST LN",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75042",
            "telephone_number": "972-494-1706",
            "fax_number": "972-494-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 FOREST LN",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75042",
            "telephone_number": "972-494-1706",
            "fax_number": "972-494-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Q FUNCTIONAL MEDICAL CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHANG",
        "authorized_official_middle_name": "YEOL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-494-1706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC CSCS FIAMA ACRBII"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC7994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Q Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; 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.