Organization
DEVOS CHIROPRACTIC P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WIM DEVOS D.C. (PRESIDENT)
(972) 989-1363
Entity
Organization
Contact information
Practice address
1959 W SOUTHLAKE BLVD, SUITE 140, SOUTHLAKE, TX 76092-6713
(972) 989-1363
(817) 488-8927
Mailing address
304 KING RICHARD ST, IRVING, TX 75061-6427
(972) 989-1363
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
8031
TX
Other
Enumeration date
11/01/2011
Last updated
04/09/2013
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