Organization
ACTIVE CHIROPRACTIC P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOSS MANSOORI CHIROPRACTIC (DOCTOR)
(214) 553-5543
Entity
Organization
Contact information
Practice address
11615 FOREST CENTRAL DR, 214, DALLAS, TX 75243-3921
(214) 553-5543
(214) 553-5531
Mailing address
11615 FOREST CENTRAL DR, 214, DALLAS, TX 75243-3921
(214) 553-5543
(214) 553-5531
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
10190
TX
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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