Individual
DANIEL FAULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3526 S BROADWAY AVE, TYLER, TX 75701-8707
(903) 617-6110
Mailing address
3526 S BROADWAY AVE, TYLER, TX 75701-8707
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
15716
TX
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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