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Organization
THE SOURCE CHIROPRACTIC
Active
Organization
THE SOURCE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH EDWARD TATE DC (CLINICAL DIRECTOR)
(713) 203-9797
Entity
Organization
Contact information
Practice address
1926 AVENUE D, KATY, TX 77493-1659
(713) 203-9797
(281) 574-5624
Mailing address
1926 AVENUE D, KATY, TX 77493-1659
(713) 203-9797
(281) 574-5624
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
09/19/2020
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