Individual
DR. BAILEY BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1903 CENTRAL DR STE 304, BEDFORD, TX 76021-5813
(972) 556-5667
Mailing address
3354 SUMMERFIELD DR, GRAPEVINE, TX 76051-6534
(817) 422-4493
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
14675
TX
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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