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Organization
WALLER CHIROPRACTIC, INC.
Active
Organization
WALLER CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN B WALLER DC (OWNER)
(972) 550-6190
Entity
Organization
Contact information
Practice address
1121 KINWEST PKWY, IRVING, TX 75063-3135
(972) 550-6190
(972) 550-6013
Mailing address
PO BOX 631907, IRVING, TX 75063-0038
(972) 550-6190
(972) 550-6013
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9828
TX
Other
Enumeration date
07/05/2011
Last updated
11/15/2016
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