Organization · NPI-2

100 Percent Chiropractic Dallas One LLC

Chiropractor · Dallas, TX

NPI number1104244003
StatusActive
Last updated in NPPESMay 13, 2015

Details

NPI
1104244003
Entity type
Organization (NPI-2)
Legal business name
100 Percent Chiropractic Dallas One LLC
Organization subpart
No
Enumeration date
Mar 29, 2014
Last updated
May 13, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor12011TXYes
111N00000X Chiropractor0007106CO

Practice location

7324 Gaston Ave
Suite 118
Dallas, TX 75214

Phone 281-467-5381

Mailing address

7324 Gaston Ave # 118
Dallas, TX 75214-6126

Phone 214-812-9906

Authorized official

Michael James Carr
Dc
2148129906

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