Individual
EDGAR PERALTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
407 CENTRE ST, DALLAS, TX 75208-6527
(214) 942-8833
Mailing address
407 CENTRE ST, DALLAS, TX 75208-6527
(214) 942-8833
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
10173
TX
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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