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Organization
LLT ASSOCIATES
Active
Organization
LLT ASSOCIATES
Active
Other names
Vista Ridge Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE S TERRY D.C. (OWNER)
(972) 315-0518
Entity
Organization
Contact information
Practice address
297 W ROUND GROVE RD STE 120, LEWISVILLE, TX 75067-8128
(972) 315-0518
(972) 315-2909
Mailing address
297 W ROUND GROVE RD STE 120, LEWISVILLE, TX 75067-8128
(972) 315-0518
(972) 315-2909
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6789
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5268017
AETNA
TX
01
—
605857
BCBS
TX
01
—
618923
UNITED HC
TX
01
—
U56557
UPIN
TX
Enumeration date
04/06/2011
Last updated
04/06/2011
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