Organization
GARDEN LIFE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MARK FASOLINO DC (OWNER)
(469) 831-6293
Entity
Organization
Contact information
Practice address
1506 N GREENVILLE AVE STE 250, ALLEN, TX 75002-8692
(469) 404-5253
Mailing address
1506 N GREENVILLE AVE STE 250, ALLEN, TX 75002-8692
(469) 404-5253
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/02/2026
Last updated
01/02/2026
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