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Organization

EXCELSIUM LLC

Active
Other names
Thrive Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHNNY TAM NGUYEN DC (OWNER/CHIROPRACTOR)
(817) 562-8855
Entity
Organization

Contact information

Practice address
1141 KELLER PKWY STE E, KELLER, TX 76248-1628
(817) 562-8855
Mailing address
1141 KELLER PKWY STE E, KELLER, TX 76248-1628
(817) 562-8855

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
01/26/2019
Last updated
12/06/2021
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