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Contact Information

ACTIVE CHIROPRACTIC P.C
11615 FOREST CENTRAL DR
214
DALLAS, TX75243-3921
 Phone: 214-553-5543
 Fax: 214-553-5531
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internist

111NI0900X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ACTIVE CHIROPRACTIC PC · (Female)

NPI Number 1114155819
Status Active
Credentials
Entity Individual
Enumeration date 07/01/2009
Last updated 07/01/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # 10190
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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