Organization
CHIRODOCTOR P A
Active
Other names
The Spine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELBY G DOUGLAS DC (PRESIDENT)
(972) 867-7463
Entity
Organization
Contact information
Practice address
16135 PRESTON RD, STE. 127, DALLAS, TX 75248-3599
(972) 867-7463
Mailing address
16135 PRESTON RD, STE. 127, BOX 37, DALLAS, TX 75248-3599
(972) 867-7463
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9263
TX
Other
Enumeration date
12/21/2006
Last updated
12/19/2007
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