Stice Chiropractic & Wellness Center

NPI #1134497316 in Southlake, Texas

Provider Information

NPI Number: 1134497316
Entity Type: Organization
Organization Name: Stice Chiropractic & Wellness Center
Primary Specialty: Chiropractor
Enumeration Date: Dec 2, 2011
Last Updated: May 1, 2012

Practice Location

Address: 500 N CARROLL AVE
Address 2: STE. 100
City: Southlake
State: Texas
ZIP Code: 76092-6410
Phone: (817) 488-6495

Authorized Official

Name: DR. KEVIN STICE
Title: OWNER
Phone: (817) 488-6495

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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