Organization
PREMIER SPORTS CHIROPRACTIC, PLLC
Active
Other names
Dustin Young Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTIN KEITH YOUNG D.C. (PRESIDENT)
(832) 247-3025
Entity
Organization
Contact information
Practice address
2100 NASA PKWY, SUITE 100, SEABROOK, TX 77586-3490
(832) 247-3025
(281) 291-8899
Mailing address
2100 NASA PKWY, SUITE 100, SEABROOK, TX 77586-3490
(832) 247-3025
(281) 291-8899
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
TX 11462
TX
Other
Enumeration date
09/23/2011
Last updated
04/20/2012
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