Organization
IRVING MYOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE ALEJANDRO SOBERANIS DC (THERAPY AND REHAB DIRECTOR)
(972) 514-6278
Entity
Organization
Contact information
Practice address
612 N STORY RD, SUITE 101, IRVING, TX 75061-6764
(972) 514-6278
(469) 713-2444
Mailing address
612 N STORY RD, SUITE 101, IRVING, TX 75061-6764
(972) 514-6278
(469) 713-2444
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/21/2010
Last updated
11/24/2014
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