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Organization

LIFESTYLE CHIROPRACTIC

Active
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Organization

LIFESTYLE CHIROPRACTIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MILTON JAMES MIZE JR. D.C. (OWNER/DOCTOR)
(972) 464-9800
Entity
Organization

Contact information

Practice address
2120 W SPRING CREEK PKWY STE B, PLANO, TX 75023-4510
(972) 464-9800
Mailing address
4336 RIDGE POINT LN, PLANO, TX 75024-7035

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9753
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015QG
BCBS
TX
Enumeration date
02/25/2008
Last updated
02/25/2008
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