Organization
EVERGREEN CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHUNG TAO DYLAN LIN D.C. (EMPLOYEE/CHIROPRACTOR)
(682) 325-4193
Entity
Organization
Contact information
Practice address
710 CENTERPARK DR, SUITE 100, COLLEYVILLE, TX 76034-2848
(682) 325-4193
(682) 325-4194
Mailing address
710 CENTERPARK DR, SUITE 100, COLLEYVILLE, TX 76034-2848
(682) 325-4193
(682) 325-4194
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11586
TX
Other
Enumeration date
01/06/2011
Last updated
01/06/2011
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