100 Chiro Prince Pllc

NPI #1922735141 in Southlake, Texas

Provider Information

NPI Number: 1922735141
Entity Type: Organization
Organization Name: 100 Chiro Prince Pllc
Primary Specialty: Chiropractor
Enumeration Date: Aug 7, 2022
Last Updated: Aug 7, 2022

Practice Location

Address: 2757 E SOUTHLAKE BLVD STE A110
City: Southlake
State: Texas
ZIP Code: 76092-8014
Phone: (214) 498-6263

Authorized Official

Name: COURTNEY DIANE PRINCE, DC
Title: OWNER/CHIROPRACTOR
Phone: (214) 498-6263

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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