Individual
ALISON EZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C
Contact information
Practice address
6301 GASTON AVE, DALLAS, TX 75214-3922
(972) 392-3400
Mailing address
2901 INDIANA BLVD, APT 467, DALLAS, TX 75226-1520
(913) 850-9028
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
13112
TX
Other
Enumeration date
07/11/2016
Last updated
05/01/2018
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