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Organization
JUSTIN CLIVE PERISH, D C
Active
Organization
JUSTIN CLIVE PERISH, D C
Active
Parent organization
LIFEQUEST FAMILY CHIROPRACTIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFEQUEST FAMILY CHIROPRACTIC
Authorized official
DR. JUSTIN CLIVE PERISH D.C. (OWNER)
(972) 698-8933
Entity
Organization
Contact information
Practice address
3600 GUS THOMASSON RD, STE 146, MESQUITE, TX 75150-6200
(972) 698-8933
(972) 698-8934
Mailing address
3600 GUS THOMASSON RD, STE 146, MESQUITE, TX 75150-6200
(972) 698-8933
(972) 698-8934
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5689
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088418103
—
TX
Enumeration date
03/02/2007
Last updated
07/26/2010
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