Organization · NPI-2
21stcenturychiropractic
Chiropractor · Dallas, TX
NPI number1366857005
StatusActive
Last updated in NPPESJun 20, 2014
Details
- NPI
- 1366857005
- Entity type
- Organization (NPI-2)
- Legal business name
- 21stcenturychiropractic
- Organization subpart
- No
- Enumeration date
- Jun 20, 2014
- Last updated
- Jun 20, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 6972 | TX | Yes |
Practice location
2739 Bachman DrDallas, TX 75220-5852
Phone 214-366-1133 · Fax 214-366-3916
Mailing address
2739 Bachman DrDallas, TX 75220-5852
Phone 214-366-1133 · Fax 214-366-3916
Authorized official
Nicholas D Chamberlain
President/Owner
2143661133
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