Organization
DR. ANDY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHOUNSAVATH ANDY PHILACHACK D.C. (CHIROPRACTOR)
(972) 272-7788
Entity
Organization
Contact information
Practice address
2334 W BUCKINGHAM RD STE 360, GARLAND, TX 75042-3940
(972) 272-7788
(972) 272-0088
Mailing address
2334 W BUCKINGHAM RD STE 360, GARLAND, TX 75042-3940
(972) 272-7788
(972) 272-0088
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8631
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0069EV
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/09/2009
Last updated
01/13/2009
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