Organization
AGRITELLEY INC.
Active
Other names
T Bar M Racquet Club
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAMILLE CATHERINE EBERLE D.C. (CHIROPRACTOR)
(469) 916-1592
Entity
Organization
Contact information
Practice address
6060 DILBECK LN, DALLAS, TX 75240-5351
(469) 916-1592
(972) 458-6829
Mailing address
6060 DILBECK LN, DALLAS, TX 75240-5351
(469) 916-1592
(972) 458-6829
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
10258
TX
111NS0005X
Sports Physician Chiropractor
Primary
9065
TX
225100000X
Physical Therapist
1153020
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8K8669
BCBS
TX
Enumeration date
02/01/2007
Last updated
01/24/2008
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