Organization
COWELL GROUP INC
Active
Parent organization
COWELL GROUP INC
Other names
Prime Life Chiropractic
Organization subpart
Yes
Provider details
NPI number
Legal business name
COWELL GROUP INC
Authorized official
KELLI K MOORE MANAGER (MANAGER)
(972) 424-2225
Entity
Organization
Contact information
Practice address
2504 AVE K, STE 500, PLANO, TX 75074-5341
(972) 424-2225
(972) 424-7709
Mailing address
2504 AVE K, STE 500, PLANO, TX 75074-5341
(972) 424-2225
(972) 424-7709
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
F006625
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0041MN
BLUE CROSS
TX
Enumeration date
09/13/2006
Last updated
11/21/2007
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