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Individual

DR. EDGAR LEONEL BAEZA-MORALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
3701 W NORTHWEST HWY STE 303, DALLAS, TX 75220-4962
(214) 352-7246
Mailing address
1777 N RECORD ST APT 2104, DALLAS, TX 75202-1259
(903) 316-4676

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
14856
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14856
TEXAS BOARD OF CHIROPRACTIC EXAMINERS
TX
Enumeration date
03/22/2022
Last updated
03/22/2025
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