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Organization
LIFETIME SPINES ADULT AND PEDIATRIC CHIROPRACTIC
Active
Organization
LIFETIME SPINES ADULT AND PEDIATRIC CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SORAYYA TOLOUE (OWNER)
(512) 291-3735
Entity
Organization
Contact information
Practice address
2100 W WILLIAM CANNON DR, AUSTIN, TX 78745-4881
(512) 291-3735
Mailing address
2100 W WILLIAM CANNON DR, AUSTIN, TX 78745-4881
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11481
TX
Other
Enumeration date
12/05/2013
Last updated
12/05/2013
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