# STRUCTURE CHIROPRACTIC AND PHYSICAL THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316191984
- **Authorized official:** HOMERO CAVAZOS (OWNER)
- **Authorized official phone:** (214) 914-5684

## Contact information

- **Practice address:** 4508 LEGACY DR, SUITE 200, PLANO, TX 75024-2183
- **Practice address phone:** (214) 377-4833
- **Mailing address:** 4508 LEGACY DR, SUITE 200, PLANO, TX 75024-2183

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN0400X | Neurology Chiropractor | 11011 | TX | Yes |
| 111NX0800X | Orthopedic Chiropractor | 11018 | TX | — |
| 225100000X | Physical Therapist | 1152378 | TX | — |

## Other

- **Enumeration date:** 11/10/2008
- **Last updated:** 11/10/2008