Organization
DIVINE SPINE WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHUKURA LEO D.C. (OWNER)
(972) 548-0388
Entity
Organization
Contact information
Practice address
2530 W ELDORADO PKWY, SUITE 120, MCKINNEY, TX 75070-4398
(972) 548-0388
Mailing address
5116 BLACKELM DR, MCKINNEY, TX 75071-6271
(972) 548-0388
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/08/2010
Last updated
07/06/2010
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