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Organization
PRIME LIFE CHIROPRACTIC
Active
Organization
PRIME LIFE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAE ANDERSON OFFICE MANAGER (OFFICER)
(972) 424-2225
Entity
Organization
Contact information
Practice address
2504 K AVE, SUITE 500, PLANO, TX 75074-5340
(972) 424-2225
(972) 424-7709
Mailing address
2504 K AVE, SUITE 500, PLANO, TX 75074-5340
(972) 424-2225
(972) 424-7709
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
F006625
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J10A
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/31/2006
Last updated
08/22/2020
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