Organization
CHIROSPORT HEALTH, PLLC
Active
Other names
Impact ChiroSport
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA EDWARDS DC (OWNER/DC)
(214) 284-9360
Entity
Organization
Contact information
Practice address
1546 STACY RD STE 170, ALLEN, TX 75002-8728
(972) 430-3040
(972) 430-3044
Mailing address
2717 HOWELL ST, 4201, DALLAS, TX 75204-1104
(214) 284-9360
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10069
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10069
STATE LICENSE
TX
Enumeration date
06/03/2010
Last updated
06/16/2020
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