Organization
LIVING WELL CHIROPRACTIC PC
Active
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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