Victory Chiropractic and Physical Therapy

NPI #1790038693 in Southlake, Texas

Provider Information

NPI Number: 1790038693
Entity Type: Organization
Organization Name: Victory Chiropractic and Physical Therapy
Primary Specialty: Chiropractor
Enumeration Date: Oct 17, 2012
Last Updated: Oct 17, 2012

Practice Location

Address: 200 E SOUTHLAKE BLVD
Address 2: SUITE 10
City: Southlake
State: Texas
ZIP Code: 76092-6238
Phone: (817) 251-6767

Authorized Official

Name: BRIAN NIMPHIUS, DC
Title: OWNER
Phone: (817) 251-6767

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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