Organization
ERB FAMILY WELLNESS SOUTHLAKE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MARIE PINSON-ERB DC (AUTHORIZED OFFICIAL)
(817) 895-0075
Entity
Organization
Contact information
Practice address
1845 E SOUTHLAKE BLVD # 140, SOUTHLAKE, TX 76092
(817) 895-0075
Mailing address
255 S DENTON TAP RD STE 200, COPPELL, TX 75019-5050
(972) 556-9595
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7321
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
658421
MEDICARE
TX
Enumeration date
04/17/2018
Last updated
04/10/2024
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