Organization
COLLECTIVE CHIROPRACTIC AND REHAB INC
Active
Other names
HealthSource of Roanoke, Roanoke Chiropractic & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD L PUCKETT D.C. (CHIROPRACTOR/ PRESIDENT)
(817) 490-6200
Entity
Organization
Contact information
Practice address
509 E BYRON NELSON BLVD STE A, ROANOKE, TX 76262-6183
(817) 490-6200
(888) 607-0662
Mailing address
509 E BYRON NELSON BLVD STE A, ROANOKE, TX 76262-6183
(817) 490-6200
(682) 831-1200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8264
TX
Other
Enumeration date
02/03/2012
Last updated
03/28/2023
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