Organization
VASCONCELLOS CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESA LYNN HARRIS DC (CHIROPRACTOR/OWNER)
(504) 835-3736
Entity
Organization
Contact information
Practice address
722 PHOSPHOR AVE, METAIRIE, LA 70005-2727
(504) 835-3736
(504) 832-8149
Mailing address
722 PHOSPHOR AVE, METAIRIE, LA 70005-2727
(504) 835-3736
(504) 832-8149
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1239
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G1381
BLUE CROSS
LA
Enumeration date
08/07/2007
Last updated
06/26/2008
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