Chiropractic Care Center of Southlake, P.c.

NPI #1437144631 in Southlake, Texas

Provider Information

NPI Number: 1437144631
Entity Type: Organization
Organization Name: Chiropractic Care Center of Southlake, P.c.
Primary Specialty: Chiropractor
Enumeration Date: Sep 13, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 1500 W SOUTHLAKE BLVD
Address 2: SUITE 120
City: Southlake
State: Texas
ZIP Code: 76092-5950
Phone: (817) 416-6116

Authorized Official

Name: DR. TYCE D HERGERT, D.C.
Title: PRESIDENT
Phone: (817) 416-6116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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