Individual
GRACE SHIACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5823 WILLOW PARK TERRACE LN, PORTER, TX 77365-6599
(316) 796-4117
Mailing address
5823 WILLOW PARK TERRACE LN, PORTER, TX 77365-6599
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
14894
TX
Other
Enumeration date
10/09/2021
Last updated
10/09/2021
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