Greenhead Diagnostics, LLC

NPI #1558732123 in Fairview, Texas

Provider Information

NPI Number: 1558732123
Entity Type: Organization
Organization Name: Greenhead Diagnostics, LLC
Primary Specialty: Chiropractor
Enumeration Date: Oct 8, 2015
Last Updated: Oct 8, 2015

Practice Location

Address: 637 MERLOT CT
City: Fairview
State: Texas
ZIP Code: 75069-1521
Phone: (214) 383-9622

Authorized Official

Name: DR. MACKIE DAWAYNE GOURLEY JR., DC
Title: OWNER
Phone: (214) 680-9146

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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DR. Lee Wilson Ligon, D.C.	Chiropractor	Fairview	AI Deep Dive
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DR. Michael Peterson, D.C.	Chiropractor	Fairview	AI Deep Dive

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