Individual
DR. BRANDON DUSTIN BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2928 INWOOD RD, DALLAS, TX 75235-7518
(469) 323-3909
Mailing address
820 S MACARTHUR BLVD, SUITE 105-127, COPPELL, TX 75019-4216
(469) 323-3909
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11260
TX
Other
Enumeration date
08/29/2009
Last updated
09/02/2009
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