Organization
GENESIS BACK AND NECK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BLANCA E WILLIAMS (DIRECTOR)
(817) 391-0130
Entity
Organization
Contact information
Practice address
520 E NORTHWEST HWY STE 102, GRAPEVINE, TX 76051-6298
(817) 391-0130
(817) 391-0136
Mailing address
520 E NORTHWEST HWY STE 102, GRAPEVINE, TX 76051-6298
(817) 391-0130
(817) 391-0136
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10536
TX
Other
Enumeration date
07/21/2009
Last updated
07/09/2013
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