Gemini Concepts, INC

NPI #1194745943 in Southlake, Texas

Provider Information

NPI Number: 1194745943
Entity Type: Organization
Organization Name: Gemini Concepts, INC
Subpart: Yes (part of a larger organization)
Parent Organization: GEMINI CONCEPTS, INC
Primary Specialty: Chiropractor
Enumeration Date: Jul 21, 2006
Last Updated: Nov 30, 2007

Practice Location

Address: 680 N CARROLL AVE
Address 2: SUITE 120
City: Southlake
State: Texas
ZIP Code: 76092-6475
Phone: (817) 421-9111

Authorized Official

Name: GREG DAVIDOVICH, DC
Title: OWNER/PROVIDER
Phone: (817) 421-9111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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