Organization
TEXAS INDEPENDENT EVALUATORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES WAYNE HEBERT D.C. (PRESIDENT)
(682) 553-7800
Entity
Organization
Contact information
Practice address
170 PLAYERS CIR, SUITE 100, SOUTHLAKE, TX 76092-6942
(682) 553-7800
(817) 488-8973
Mailing address
170 PLAYERS CIR, SUITE 100, SOUTHLAKE, TX 76092-6942
(682) 553-7800
(817) 488-8927
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
—
TX
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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