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Organization
PINE WOODS CHIROPRACTIC PLLC
Active
Organization
PINE WOODS CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON RAY FOWLER DC (OWNER)
(972) 540-7777
Entity
Organization
Contact information
Practice address
5180 ELDORADO PKWY STE 202, MCKINNEY, TX 75070-7214
(972) 540-7777
Mailing address
5180 ELDORADO PKWY STE 202, MCKINNEY, TX 75070-7214
(972) 540-7777
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
6289
TX
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00017303 02
—
TX
Enumeration date
11/13/2007
Last updated
03/17/2022
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