Organization
CHIRO ONE WELLNESS CENTER OF COLLEYVILLE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM WANG (COO)
(630) 468-1824
Entity
Organization
Contact information
Practice address
5509 COLLEYVILLE BLVD, STE100, COLLEYVILLE, TX 76034-7807
(817) 479-0055
(817) 479-0058
Mailing address
P.O. BOX 677449, DALLAS, TX 75267-7449
(630) 320-6400
(630) 320-6489
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
12/08/2010
Last updated
11/09/2012
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