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Organization
LIFESOURCE CHIROPRACTIC
Active
Organization
LIFESOURCE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE MEERS D.C (OWNER/CHIROPRACTOR)
(512) 257-9500
Entity
Organization
Contact information
Practice address
711B N BELL BLVD, CEDAR PARK, TX 78613-2279
(512) 257-9500
Mailing address
711B N BELL BLVD, CEDAR PARK, TX 78613-2279
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10725
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
608410
BCBS
TX
Enumeration date
12/04/2007
Last updated
12/04/2007
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