Organization
CHIROPRACTIC CARE CENTER OF SOUTHLAKE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYCE D HERGERT D.C. (PRESIDENT)
(817) 416-6116
Entity
Organization
Contact information
Practice address
1500 W SOUTHLAKE BLVD, SUITE 120, SOUTHLAKE, TX 76092-5950
(817) 416-6116
(817) 410-9411
Mailing address
1500 W SOUTHLAKE BLVD, SUITE 120, SOUTHLAKE, TX 76092-5950
(817) 416-6116
(817) 410-9411
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/13/2005
Last updated
08/22/2020
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