Organization
BROOKHAVEN GP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN CHEUK-MAN CORBALEY CHIROPRACTOR (MANAGING MEMBER)
(972) 484-0088
Entity
Organization
Contact information
Practice address
13350 JOSEY LN STE B, FARMERS BRANCH, TX 75234-4960
(972) 484-0088
Mailing address
13350 JOSEY LN STE B, FARMERS BRANCH, TX 75234-4960
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11221
TX
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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