Ethos Regenerative Medical Group Pllc

NPI #1306016282 in Irving, Texas

Provider Information

NPI Number: 1306016282
Entity Type: Organization
Organization Name: Ethos Regenerative Medical Group Pllc
Primary Specialty: Chiropractor
Enumeration Date: Mar 6, 2008
Last Updated: May 20, 2019

Practice Location

Address: 300 E. ROYAL LN
Address 2: SUITE 110
City: Irving
State: Texas
ZIP Code: 75039
Phone: (972) 409-0016

Authorized Official

Name: DR. JASON CORY BLACK, D.C.
Title: OWNER
Phone: (972) 409-0016

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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