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Organization
LEGACY CHIROPRACTIC AND SPORTS MEDICINE
Active
Organization
LEGACY CHIROPRACTIC AND SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY R LEWIS DC (OWNER/CHIROPRACTOR)
(469) 343-4202
Entity
Organization
Contact information
Practice address
17766 PRESTON RD, DALLAS, TX 75252-5736
(469) 343-4202
Mailing address
17766 PRESTON RD, DALLAS, TX 75252-5736
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11999
TX
Other
Enumeration date
01/08/2013
Last updated
01/08/2013
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