Organization
ELITE DECOMPRESSION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY J GRAY (OWNER)
(817) 656-1615
Entity
Organization
Contact information
Practice address
1730 RUFE SNOW DR, STE B, KELLER, TX 76248-5689
(817) 656-1615
Mailing address
1730 RUFE SNOW DR, STE B, KELLER, TX 76248-5689
(817) 656-1615
(817) 428-0573
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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