Organization
INNERGY FITNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANIE HANSON (OWNER)
(214) 801-5104
Entity
Organization
Contact information
Practice address
200 CRESCENT CT STE 95, DALLAS, TX 75201-7864
(918) 408-4521
Mailing address
200 CRESCENT CT STE 95, DALLAS, TX 75201-7864
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
12490
TX
Other
Enumeration date
03/01/2014
Last updated
07/17/2014
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