Organization
ABC WELLNESS CENTER OF IRVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON DUSTIN BLACK SR. D.C. (OWNER)
(972) 699-3696
Entity
Organization
Contact information
Practice address
1425 W PIONEER DR, SUITE 112 A, IRVING, TX 75061-7146
(972) 699-3696
(469) 828-1644
Mailing address
1425 W PIONEER DR, SUITE 112 A, IRVING, TX 75061-7146
(972) 699-3696
(469) 828-1644
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11260
TX
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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