Elite Decompression INC

NPI #1649557422 in Keller, Texas

Provider Information

NPI Number: 1649557422
Entity Type: Organization
Organization Name: Elite Decompression INC
Primary Specialty: Family Medicine
Enumeration Date: Nov 8, 2011
Last Updated: Nov 8, 2011

Practice Location

Address: 1730 RUFE SNOW DR
Address 2: STE B
City: Keller
State: Texas
ZIP Code: 76248-5689
Phone: (817) 656-1615

Authorized Official

Name: NANCY J GRAY
Title: OWNER
Phone: (817) 656-1615

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X
Family Medicine	207Q00000X	Primary

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