Organization
PARK CITIES CHIROSPORT INC
Active
Organization
PARK CITIES CHIROSPORT INC
Active
Other names
HealthSource of Highland Park
Organization subpart
No
Provider details
NPI number
Authorized official
DR. R TODD PETERSEN DC (OWNER)
(214) 739-2225
Entity
Organization
Contact information
Practice address
3408 MILTON AVE, DALLAS, TX 75205-1338
(214) 739-2225
(214) 739-2228
Mailing address
3408 MILTON AVE, DALLAS, TX 75205-1338
(214) 739-2225
(214) 739-2228
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
09289
TX
Other
Enumeration date
04/10/2009
Last updated
10/30/2014
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