Organization
LONE STAR HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICENTE CHAVIRA DC (OWNER)
(480) 888-5555
Entity
Organization
Contact information
Practice address
10 E RUTH AVE, PHOENIX, AZ 85020-3131
(480) 888-5555
Mailing address
1410 E CHOLLA ST, PHOENIX, AZ 85020-1413
(480) 888-5555
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8328
AZ
Other
Enumeration date
08/15/2018
Last updated
10/23/2018
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