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Island Chiropractic And Acupuncture Clinic LLC

Chiropractor in South Padre Island, TX. Organization (NPI-2).

NPI number1578747101
StatusActive
Last updated in NPPESDec 18, 2007

Details

NPI
1578747101
Entity type
Organization (NPI-2)
Legal business name
Island Chiropractic And Acupuncture Clinic LLC
Organization subpart
No
Enumeration date
Dec 18, 2007
Last updated
Dec 18, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor8835TXYes

Practice location

3311 Padre Blvd
Suite B
South Padre Island, TX 78597-7048

Phone 956-761-6006 · Fax 956-761-6002

Mailing address

3311 Padre Blvd
Suite B
South Padre Island, TX 78597-7048

Phone 956-761-6006 · Fax 956-761-6002

Authorized official

Joey Lee Laske
President/Chiropractor
9567616006

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