Healthsource of Mansfield Texas LLC

NPI #1932489697 in Mansfield, Texas

Provider Information

NPI Number: 1932489697
Entity Type: Organization
Organization Name: Healthsource of Mansfield Texas LLC
Primary Specialty: Chiropractor
Enumeration Date: Aug 25, 2011
Last Updated: Aug 25, 2011

Practice Location

Address: 121 W DEBBIE LN
Address 2: SUITE 115
City: Mansfield
State: Texas
ZIP Code: 76063-8941
Phone: (682) 518-9393

Authorized Official

Name: DR. JOHN DAVIS
Title: MD
Phone: (318) 614-2963

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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