Organization
FAMILY HEALTH & SPINAL REJUVENATION CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEDRACK RAINES (MD)
(817) 629-1027
Entity
Organization
Contact information
Practice address
1233 E PLEASANT RUN RD STE B, DESOTO, TX 75115-4200
(855) 326-3644
Mailing address
PO BOX 2210, EULESS, TX 76039-7021
(855) 326-3644
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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