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Organization
PREMIER SPORTS CHIROPRACTIC, PLLC
Active
Organization
PREMIER SPORTS CHIROPRACTIC, PLLC
Active
Other names
Dustin Young Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTIN KEITH YOUNG D.C. (PRESIDENT)
(832) 247-3025
Entity
Organization
Contact information
Practice address
2100 NASA PKWY, SUITE 100, SEABROOK, TX 77586-3490
(832) 247-3025
(281) 291-8899
Mailing address
2100 NASA PKWY, SUITE 100, SEABROOK, TX 77586-3490
(832) 247-3025
(281) 291-8899
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
TX 11462
TX
Other
Enumeration date
09/23/2011
Last updated
04/20/2012
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