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Organization
LSSR MANAGEMENT INC
Active
Organization
LSSR MANAGEMENT INC
Active
Other names
Lone Star Spine and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
COREY WILLIAM SORUM DC (VICE PRESIDENT/CLINIC DIRECTOR)
(847) 975-4645
Entity
Organization
Contact information
Practice address
13777 JUDSON RD, SUITE 107, SAN ANTONIO, TX 78233-4514
(847) 975-4645
Mailing address
PO BOX 47626, SAN ANTONIO, TX 78265-8626
(847) 975-4645
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
TX12285
TX
111NR0400X
Rehabilitation Chiropractor
TX12285
TX
111NX0100X
Occupational Health Chiropractor
TX12285
TX
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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