Individual
ANTAR PORTALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2829 W NORTHWEST HWY, SUITE 904, DALLAS, TX 75220-6219
(214) 350-0504
Mailing address
2829 W NORTHWEST HWY, SUITE 904, DALLAS, TX 75220-6219
(214) 350-0504
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10156
TX
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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