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Organization
MAIN STREET INJURY CLINIC LLC
Active
Organization
MAIN STREET INJURY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARDO DEHOYOS MHA (PARTNER)
(817) 402-9484
Entity
Organization
Contact information
Practice address
2100 N MAIN ST STE 105, FORT WORTH, TX 76164-8572
(817) 402-9484
(214) 853-5421
Mailing address
2100 N MAIN ST STE 105, FORT WORTH, TX 76164-8572
(817) 402-9484
(214) 853-5421
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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