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Organization
TEXAS GONSTEAD FAMILY CHIROPRACTIC INC
Active
Organization
TEXAS GONSTEAD FAMILY CHIROPRACTIC INC
Active
Other names
Texas Gonstead LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUNESUK LEE DC (DC/OWNER)
(972) 906-9986
Entity
Organization
Contact information
Practice address
230 N DENTON TAP RD STE 112, COPPELL, TX 75019
(972) 906-9986
(972) 906-9958
Mailing address
230 N DENTON TAP RD STE 112, COPPELL, TX 75019-2135
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11133
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467543926
IND NPI
—
Enumeration date
07/18/2017
Last updated
07/10/2018
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