Magnolia Chiropractic, P.a.

NPI #1104837756 in Irving, Texas

Provider Information

NPI Number: 1104837756
Entity Type: Organization
Organization Name: Magnolia Chiropractic, P.a.
Primary Specialty: Chiropractor
Enumeration Date: Aug 10, 2006
Last Updated: Apr 27, 2011

Practice Location

Address: 139 S MAIN ST
City: Irving
State: Texas
ZIP Code: 75060-2926
Phone: (972) 554-1511

Authorized Official

Name: JACQUE KEIL
Title: BILLING MANAGER
Phone: (817) 557-2982

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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