Idael Balance, INC

NPI #1225302557 in Rockwall, Texas

Provider Information

NPI Number: 1225302557
Entity Type: Organization
Organization Name: Idael Balance, INC
Primary Specialty: Chiropractor
Enumeration Date: Mar 5, 2012
Last Updated: Mar 5, 2012

Practice Location

Address: 6800 HERITAGE PKWY
Address 2: STE 200
City: Rockwall
State: Texas
ZIP Code: 75087-8746
Phone: (972) 463-9100

Authorized Official

Name: DR. JENNA M WEBSTER, DC
Title: OWNER / PROVIDER
Phone: (972) 463-9100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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