# TEXAS GONSTEAD FAMILY CHIROPRACTIC INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Texas Gonstead LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588187942
- **Authorized official:** DR. JUNESUK LEE DC (DC/OWNER)
- **Authorized official phone:** (972) 906-9986

## Contact information

- **Practice address:** 230 N DENTON TAP RD STE 112, COPPELL, TX 75019
- **Practice address phone:** (972) 906-9986
- **Practice address fax:** (972) 906-9958
- **Mailing address:** 230 N DENTON TAP RD STE 112, COPPELL, TX 75019-2135

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 11133 | TX | Yes |

## Other

- **Enumeration date:** 07/18/2017
- **Last updated:** 07/10/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1467543926 | IND NPI | — |