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Organization
SOUTHLAKE CHIROPRACTIC CLINIC
Active
Organization
SOUTHLAKE CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANN LOUISE HEBERT (OWNER/DIRECTOR)
(817) 488-8837
Entity
Organization
Contact information
Practice address
170 PLAYERS CIR STE 100, SOUTHLAKE, TX 76092-6947
(817) 488-8837
(817) 488-8927
Mailing address
170 PLAYERS CIR STE 100, SOUTHLAKE, TX 76092-6947
(817) 488-8837
(817) 488-8927
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8031
TX
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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