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Organization
ST ONGE CHIROPRACTIC & SPORTS THERAPY
Active
Organization
ST ONGE CHIROPRACTIC & SPORTS THERAPY
Active
Other names
St Onge Chiropractic & Sports Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY ST ONGE (OWNER)
(972) 444-8585
Entity
Organization
Contact information
Practice address
1121 KINWEST PKWY, 100, IRVING, TX 75063-3135
(972) 444-8585
(888) 463-8877
Mailing address
1121 KINWEST PKWY, 100, IRVING, TX 75063-3135
(972) 444-8585
(888) 463-8877
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10070
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TXB164587
MEDICARE PTAN
TX
Enumeration date
06/04/2008
Last updated
02/26/2015
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