Healthsource of Frisco LLC

NPI #1699028084 in Frisco, Texas

Provider Information

NPI Number: 1699028084
Entity Type: Organization
Organization Name: Healthsource of Frisco LLC
Primary Specialty: Chiropractor
Enumeration Date: Oct 23, 2012
Last Updated: Oct 23, 2012

Practice Location

Address: 7010 PRESTON RD
Address 2: SUITE 100
City: Frisco
State: Texas
ZIP Code: 75034-5869
Phone: (469) 633-1155

Authorized Official

Name: M. BRANDON PETTKE, D.C. PA
Title: PRESIDENT/OWNER
Phone: (817) 291-1816

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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