Organization
GENESIS FAMILY CHIROPRACTIC CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS COLEMAN DC (OWNER)
(972) 378-9991
Entity
Organization
Contact information
Practice address
12222 MERIT DR STE 340, DALLAS, TX 75251-2217
(972) 378-9991
(972) 378-9992
Mailing address
12222 MERIT DR STE 340, DALLAS, TX 75251-2217
(972) 378-9991
(972) 378-9992
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9798
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00614T
—
TX
Enumeration date
08/22/2007
Last updated
02/07/2008
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