Organization
CHIROPRACTIC AVENUE & PHYSICAL MEDICINE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PHUNG D.C. (PRESIDENT)
(214) 703-0044
Entity
Organization
Contact information
Practice address
417 N GARLAND AVE, GARLAND, TX 75040-5646
(214) 703-0044
(214) 703-0691
Mailing address
417 N GARLAND AVE, GARLAND, TX 75040-5646
(214) 703-0044
(214) 703-0691
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9764
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1762247
—
TX
Enumeration date
09/20/2006
Last updated
08/22/2020
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