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Organization
STICE CHIROPRACTIC & WELLNESS CENTER
Active
Organization
STICE CHIROPRACTIC & WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN STICE (OWNER)
(817) 488-6495
Entity
Organization
Contact information
Practice address
500 N CARROLL AVE, STE. 100, SOUTHLAKE, TX 76092-6410
(817) 488-6495
Mailing address
500 N CARROLL AVE, STE. 100, SOUTHLAKE, TX 76092-6410
(817) 488-6495
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11657
TX
Other
Enumeration date
12/02/2011
Last updated
05/01/2012
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