Individual provider · Type 1 NPI
Kevin Stice, DC
Chiropractor · Southlake, TX
NPI number
1033414685
Active
Practice location
500 North Carroll Avenue, #100
Southlake, TX 76092-6410
Fax (817) 488-6592
Mailing address
1510 Scurry Ste. C
Big Spring, TX 79720
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 11657 (TX) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1033414685
Kevin Stice, DC's National Provider Identifier is 1033414685, issued on Jan 12, 2011. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Southlake, TX. The record was last updated on Jul 13, 2017.