Organization
RENEWED EAGLE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE MARIE MOORE D.C. (BUSINESS OWNER/CHIROPRACTOR)
(817) 688-8999
Entity
Organization
Contact information
Practice address
3500 WILLIAM D TATE AVE STE 175, GRAPEVINE, TX 76051-8749
(817) 421-4775
Mailing address
700 OAKWOOD AVE, HURST, TX 76053-5511
(817) 688-8999
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
13549
TX
Other
Enumeration date
12/31/2017
Last updated
12/31/2017
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