Southlake Chiropractic Clinic

NPI #1063743755 in Southlake, Texas

Provider Information

NPI Number: 1063743755
Entity Type: Organization
Organization Name: Southlake Chiropractic Clinic
Primary Specialty: Chiropractor
Enumeration Date: Jan 20, 2010
Last Updated: Jan 20, 2010

Practice Location

Address: 170 PLAYERS CIR STE 100
City: Southlake
State: Texas
ZIP Code: 76092-6947
Phone: (817) 488-8837

Authorized Official

Name: MS. ANN LOUISE HEBERT
Title: OWNER/DIRECTOR
Phone: (817) 488-8837

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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