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Individual

DR. JUSTIN ANTHONY FORTIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
6350 LBJ FWY, SUITE 166, DALLAS, TX 75240-6403
(972) 742-7912
Mailing address
7001 W PARKER RD, APARTMENT 534, PLANO, TX 75093-8614
(972) 742-7912

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
11395
TX

Other

Enumeration date
05/01/2010
Last updated
05/01/2010
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