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Organization
OPTIMAL WELLNESS CHIROPRACTIC PC
Active
Organization
OPTIMAL WELLNESS CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACEY M CORONADO DC (OWNER / PROVIDER)
(956) 343-9831
Entity
Organization
Contact information
Practice address
1616 FM 685, SUITE 106, PFLUGERVILLE, TX 78660-7536
(956) 343-9831
Mailing address
PO BOX 81284, AUSTIN, TX 78708-1284
(956) 343-9831
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10547
TX
Other
Enumeration date
07/27/2011
Last updated
09/14/2011
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