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Organization

CHIROSPORT SPECIALISTS OF DALLAS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TROY CURTIS VAN BIEZEN D.C., A.R.T., B.P.E. (CHIROPRACTOR)
(972) 239-0010
Entity
Organization

Contact information

Practice address
4950 BELT LINE RD STE 100, DALLAS, TX 75254-6751
(972) 239-0010
Mailing address
4950 BELT LINE RD STE 100, DALLAS, TX 75254-6751
(972) 239-0010

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
7351
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0083499
BCBS BLUELINK NUMBER
TX
01
7351
TEXAS MEDICAL LICENSE
TX
01
8U9710
BCBS PROVIDER
TX
Enumeration date
08/30/2006
Last updated
03/08/2010
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