Individual
MR. CHANCE BRANDON CORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, MOT, OT
Contact information
Practice address
4152 W SPRING CREEK PKWY STE 116, PLANO, TX 75024-5315
(972) 964-7000
(972) 964-7005
Mailing address
4152 W SPRING CREEK PKWY STE 116, PLANO, TX 75024-5315
(972) 964-7000
(972) 964-7005
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
14748
TX
225X00000X
Occupational Therapist
118040
TX
Other
Enumeration date
01/10/2017
Last updated
05/24/2021
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