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Organization
THADDEUSJACKDC PLLC
Active
Organization
THADDEUSJACKDC PLLC
Active
Other names
Power Up Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THADDEUS MCCONKEY DC (OWNER)
(248) 535-8865
Entity
Organization
Contact information
Practice address
1152 N BUCKNER BLVD STE 100B, DALLAS, TX 75218-3435
(469) 941-4899
Mailing address
1152 N BUCKNER BLVD STE 100B, DALLAS, TX 75218-3435
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
04/02/2024
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