Organization
ACTIVE CHIROPRACTIC AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL ALEJANDRO CUELLAR (OWNER)
(214) 909-7560
Entity
Organization
Contact information
Practice address
923 W JEFFERSON BLVD, DALLAS, TX 75208-5050
(214) 380-9219
Mailing address
923 W JEFFERSON BLVD, DALLAS, TX 75208-5050
(214) 380-9219
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10432
TX
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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