Organization
TABASSUM ALI CHIROPRACTIC CORPORATION
Active
Other names
Lone Star Sport and Spine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TABASSUM ALI DC (OWNER)
(972) 379-7993
Entity
Organization
Contact information
Practice address
2501 E HEBRON PKWY, #150, CARROLLTON, TX 75010-4468
(972) 379-7993
Mailing address
2501 E HEBRON PKWY, #150, CARROLLTON, TX 75010-4468
(972) 379-7993
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
12243
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F0011898
FACILITY REGISTRATION NUMBER
TX
Enumeration date
07/11/2016
Last updated
07/11/2016
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