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Organization
LIFEGUARD FAMILY HEALTH L.L.C.
Active
Organization
LIFEGUARD FAMILY HEALTH L.L.C.
Active
Other names
Heuser Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ALLEN OSBORNE D.C. (OWNER)
(903) 566-7725
Entity
Organization
Contact information
Practice address
1121 E SOUTHEAST LOOP 323 STE 102, TYLER, TX 75701-9660
(903) 561-1071
(903) 561-6841
Mailing address
13706 COUNTY ROAD 291, TYLER, TX 75707-4844
(903) 566-7725
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9325
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146782101
—
TX
Enumeration date
04/17/2007
Last updated
08/17/2011
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