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Organization
MY LIFE CHIROPRACTIC
Active
Organization
MY LIFE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN LEYVA (MANAGER)
(915) 228-4915
Entity
Organization
Contact information
Practice address
1393 GEORGE DIETER DR, STE. E, EL PASO, TX 79936-7410
(915) 228-4915
Mailing address
1393 GEORGE DIETER DR, STE. E, EL PASO, TX 79936-7410
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
12746
TX
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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