Healthsource of Allen LLC

NPI #1184991069 in Allen, Texas

Provider Information

NPI Number: 1184991069
Entity Type: Organization
Organization Name: Healthsource of Allen LLC
Primary Specialty: Chiropractor
Enumeration Date: Nov 21, 2011
Last Updated: Sep 12, 2013

Practice Location

Address: 1546 STACY RD
Address 2: STE 170
City: Allen
State: Texas
ZIP Code: 75002-8726
Phone: (972) 359-1362

Authorized Official

Name: M BRANDON PETTKE, DC
Title: MANAGER
Phone: (972) 359-1362

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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