Organization
LIVING WELL CHIROPRACTIC PC
Active
Other names
Living Well Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA TREVINO D.C. (OWNER)
(903) 255-7094
Entity
Organization
Contact information
Practice address
4211 TEXAS BLVD, TEXARKANA, TX 75503-3012
(903) 255-7094
Mailing address
4211 TEXAS BLVD, TEXARKANA, TX 75503-3012
(903) 255-7094
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14133
TEXAS BOARD CHIROPRACTIC EXAMINERS
TX
Enumeration date
07/08/2020
Last updated
07/08/2020
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