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Organization

LILIANA SIFUENTES D.C., P.A.

Active
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Organization

LILIANA SIFUENTES D.C., P.A.

Active
Parent organization
LILIANA SIFUENTES DC PA
Other names
BALANCE FOR LIFE CHIROPRACTIC, Balance For Life Chiropractic
Organization subpart
Yes

Provider details

NPI number
Legal business name
LILIANA SIFUENTES DC PA
Authorized official
DR. LILIANA SIFUENTES D.C (DOCTOR OF CHIROPRACTIC)
(915) 751-9791
Entity
Organization

Contact information

Practice address
9005 DYER ST STE B, EL PASO, TX 79904-1405
(915) 751-9791
(915) 751-0993
Mailing address
9005 DYER, SUITE B, EL PASO, TX 79904-1405
(915) 751-9791
(915) 751-0993

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
302R00000X
Health Maintenance Organization
10726
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1033890586
NPI -INDIVIDUAL
TX
01
8L15536
MEDICARE PTAN
TX
Enumeration date
03/07/2011
Last updated
05/22/2023
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